2005-06-15_REPORT - M1999117

• Permit No: M1999117
• IBM Index Class Name: Report
• Doc Date: 6/15/2005
• Doc Name: Annual Fee/Report Notice
• From: colorado gravel products inc
• To: dmg
• Media Type: D
• Archive: No

RECEIVE®
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Colorado Gravel Products, Inc.
M-1999-117
Colorado Gravel Products Inc.
June 23, 2005
$688.00 (Due on or before your anniversary date)
Saguache
JUN 1 5 2005
Uiuision of Minerals and Geology
According to 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,
reclamation accomplished to date and during thethe pr eec ding year; n`ew distu~r oases thataie anticipated to occur -` -
during the upcoming year, reclamation that will be performed during the coming year, [he dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual rennrt and annual re n~ rt mad 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: Kenny Smith
Permittee Name: Colorado Gravel Products, Inc.
Address: 45247 Hwy 112
Center, CO 81125
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.
Signatu/re of orporate Officer, Owner, or Designee
(P~~~- ®~
Date