REP50992

• Permit No: M1977522
• IBM Index Class Name: Report
• Doc Date: 3/20/2002
• Doc Name: 2002 Annual Report
• From: River Valley Rock Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY: .. .
ANNUAL FEE and REPORT REQUEST
River Valley Rock, Inc.
M-1977-522
Herman Feit Pit
March 23, 2002
$688.00 (Due on or before your anniversary date)
Weltl
RECEIVEf~
MAR 2 0 i' s?
Division 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 [o affected land,
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__ _ rP.f_. a.mat,oti_,~compl.sh_ -,0-_.-.e~~..n'.1-.-1r:.^.a^ ...., pr°.,Ceding fCar; t7:.w~..:SCJrbw~CCS-tiidi a`IC 3iiCiiipa[c'Zl IU~Ueenf
during [he upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
_ , of active aerations. and t_he date actiye~erations ceased for th~ea-r,_if_any~ _ _
Please attach Your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact:
Permit[ee Name: River Valley Rock, Inc.
Address: P.~. B~967
Phone Number:
Fax Number:
Greeley, CO 80632
[phone]
,e~L Luvbeizv
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_RepoR instructions aze.enclosed.__- _---_
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Signature of Corporate~ffic~{or caner
_as-oa
Date
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