2005-01-24_REPORT - M1986160

• Permit No: M1986160
• IBM Index Class Name: REPORT
• Doc Date: 1/24/2005
• Doc Name: Annual Fee/Report/Map
• From: Parkerson Construction Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~- V~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~Nv
Parkerson Construction Co. ~Ar~ 2 r` L~uS
M-1986-160 i ri .:6..........,
Sunny Side Gravel Pt
February 17, 2005
$281.00 (Due on or before your anniversary date)
Mesa
___~ Accgrding.to_GR.S.,3432.5-116-or_GR.S 34.32-1-1b;~eaoh-year; on=thean:riversary date of the-permit,-an'op2rator -'
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, _
reclamation accomplished to_dateand_during-the preceding-year,-new-disturbances-that-are anticipat3to 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 yunr revised written annual rennrt and anm~al re0nrt m~tn 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: Alan Parkerson
Permittee Name: Parkerson Construction Co.
Address: 710 S. 15th St.
Grand Junction, CO 81501
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 forth along with your written report and map. Annual Report instructions are enclosed.
ignature of C porate Officer, Owner, or Designee
~/2i / s-
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