2003-01-02_REPORT - M1980183

• Permit No: M1980183
• IBM Index Class Name: Report
• Doc Date: 1/2/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

Brannan Sand & Gravel Company
M-1980-183
Pit 29
January 8, 2003
FiECEIVE®
JAN 0 21003
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Adams
According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he 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 the preceding-year,-new disturbance's that are anticipated fo occur-- --
during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach yJyn• revised written anneal report and anneal rennrt main 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 necessazy
changes:
Permittee Contact: Fred J. Marvel
Permittee Name: Brannan Sand & Gravel Company
Address: 4800 Brighton Blvd.
Denver. CO 80216
Phone Number: [phone]
---- Fax Number;---- -(303) 534-1.236- ~ -- - _ - - - - - _- - -
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it [o this form along with your written report and map. Annual Report instructions aze enclosed.
Si azure o orporate Officer, Owner, or Designee
Date
M:IPERMTM ASTERDOCUMENTSN4-AF-01