REP49536

• Permit No: M1977559
• IBM Index Class Name: Report
• Doc Date: 2/19/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
V
Valco Canon City Concrete Div. Al~~.rE~ l6-~li
M-1977-559 FEB 19 2003
Canon City East Pit
Division of Minerals end peolopy
February 22,2003 `
$688.00 (Due on or before your anniversary date)
.Fremont ~ - - _ - _ _ _ _
According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land,, ~eclam`atiiin accomplished-to date-and-duringthe preceding year,-new-disturbances-that-are-anticipated-to-
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vonr revised written annual report and anm~al report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Randy Symons
- Permittee Name: Valco Canon City Concrete Div.
Address: P.O. Box 669
730 S. Mackenzie
Canon City, CO 81215-0669
-- -- Phone Number: [phone] - ~ - -
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
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M:~FERM! RMASTERDOCUMEMSIM-AF-04