2007-01-17_REPORT - M1978357 - Laserfiche WebLink

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~~; ~~~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST Grand Junction Pipe & Supply Co. //M-1978-357 Bradbury Pit January 25, 2007 Yt~ 13~C~IVELI i 7 2007 pivis : mvCion, fining ano Safety $$688.00 (Due on or before your anniversary date) Mesa According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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, are anncmarea ro occur during the upcoming yeaz, 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 your revised written annual resort and annual resort maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the arevious year and no new changes to the arevious year's man are necessary, then no new man is required, provided that the Oaerator shall state this in the Annual Report. 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: Edward J. Settle Permittee Name: Grand Junction Pipe & Supply Co. Address: P.O. Box 1849 Grand Junction, CO 81502 Phone Number: (970) 243-4604 Fax Number: (970) 243-6703 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 aze enclosed. Signature of orporate Officer, Owner, or Designee ~~~ Date