2010-06-11_REPORT - M1999117

• Permit No: M1999117
• IBM Index Class Name: REPORT
• Doc Date: 6/11/2010
• Doc Name: Annual Fee/Report/Map
• From: Colorado Gravel Products Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
;PERMIT NO.:
OPERATION NAME:
(ANNIVERSARY DATE:
'ANNUAL FEE DUE:
COUNTY:
Colorado Gravel Products Inc.
June 23, 2010
4.
JUN 1 ?? ZM
pin cue j d n
$791.00 (Due on or before your anniversary date)
Saguache
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,
reclamafion accomplisKe-d to date and during Elie preceding year, new di`sturbances-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 the year, if any.
Please attach your revised written annual report and annual report may 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 year and no new changes to
the previous year's may are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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: Kenny Smith
'Permittee Name: Colorado Gravel Products Inc.
Address: 45247 Hwy 112
I
Center, CO 81125
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 orp to O ficer, Owner, or Designee
Date
ANNUAL FEE and REPORT REOUEST
Colorado Gravel Products Inc.
/ M-1999-117