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2008-04-25_REPORT - M2004025
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2008-04-25_REPORT - M2004025
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Entry Properties
Last modified
8/20/2019 10:18:25 AM
Creation date
4/28/2008 11:41:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004025
IBM Index Class Name
REPORT
Doc Date
4/25/2008
Doc Name
Annual Fee/Report/Map
From
Farnsworth Construction & Gravel Co.
To
DRMS
Permit Index Doc Type
Annual Fee/Report
Media Type
D
Archive
No
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U <br />PE;RMiTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />p C~ ~- Y5~ <br />„~,.T . * ira.•r.....a urPgRT RF.Qi1FS1' ~~ <br />Farnsworth Constrn/coon & Gravel Co. <br />M--20Q4-025 / <br />ATorth Fork Pit <br />~-NNIVERSARY DATE: April 22, 200f3 <br />~~~ FEE DZIE: ~a 3 (Dee on or before your anniversary date) <br />COUNTY: Delta <br />u ~~~~~~~ <br />APR 2 5 ZOOS / <br />Division u'f iieclamation, <br />Mining and Safety <br />According to C.R.S. 34-32.5-115 or CRS. 34-32-i 16, each year', on the a~iveisdrl- ~tbe of the permit, an o~tOT <br />a and n~ showing tla; extent of cauxent d~ to affected ~ <br />shall stebarit the amnml fee, ~v dim that are a~icipated do occen' <br />reclamation aocornplished -ta tlate-artid chrring ~ ~ 3~~ the motes for the beginning <br />during ~ g yr, neclsrrmti~ fleet will be performed during the cromir-g year, <br />of alive opera, and fire date active ~~ ~' ~ 7~, ¢~. <br />w~ ~.. i, rmir wvaQ.ba. writrerl gnll118~~1Lrt end 11nga1_repnr~ "'°° ~ this fArnl. Please note that alt <br />adequately labeled map that clearly delineates and Includes the above elements may su,~ice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Patricia M. Farnsworth <br />Pennittee Name: Farnsworth Construction & Gravel Co. <br />Address: 175 Hwy 133 <br />Paonia, CO $1428 <br />Phone Number. (97x) 527-4434 <br />Fax Number: cj1~~ _~ ~7 _ ~ ~ ~~Z <br />congm~ts and/or that slmuld ~ P tiD flee Division, Please Provide it <br />if you have ~~ a~ ~. Ail t aye enclosed. <br />below or attach it Uo tiris iorrn along with ]roar ~ <br />,~ <br />.. -- <br />_ _ - <br />r <br />SigreaU~e of Corpo~ Uffiice~ , m' Desig~e ~ ' <br />i <br />l v~ <br />Date ~ - <br />~~ '~ 1 z ~ ~{~j J/D <br />~~ <br />
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