2009-01-20_REPORT - M2002052

• Permit No: M2002052
• IBM Index Class Name: REPORT
• Doc Date: 1/20/2009
• Doc Name: Annual Fee/Report/Map
• From: Western Equipment & truck, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

DEC-11-2006 100 9AM FROM-DIV RECLAMATION MINING & SAFETY [phone]

PERMITTER NAME:
PERMIT NO..
OPERATION NAME:
ANNIVERSARY DATE:
//A?
ANN'& IF& and REPORT REQUEST
Western Equipment & Truck, Inc.
ZM 2002-052
Two Rivers Rock
September 2, 2008
T-853 P.002/002 F-433
B IC.,
mkc
RECEIVED
dAN 2 0 2009
Division of Reclamation,
Mining and Safety
ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date)
COUNTY: Weld
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 to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to 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 thv year, if any.
Please attach your revised written annual report and annual report man 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 previous veer and no new chances to
the previous year's man are necessary, then no new ma is required. provided that the Operator shall state
this in the Annual Report. Please note that an adeyuutely 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:
Pcrmittee Contact:
Pertnittee Name:
Address:
Craig Sparrow
Western Eq pmcnt & Truck, Inc.
2055 1 st Ave.
Greeley, CO 80631
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 form along with your written report and map. Annual Report instructions are enclosed.
Signature of C orate Officer, Owner, or Designee
Date