2011-05-02_REPORT - M1981006 ‎(3)‎

• Permit No: M1981006
• IBM Index Class Name: REPORT
• Doc Date: 5/2/2011
• Doc Name: Annual Fee/Report/Map
• From: Central Aggregates, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REOUEST
? il/
Central Aggregates, Inc.
M-1981-006
West Rifle Pit
April 27, 2011
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? HAY 02 2011
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$791.00 (Due on or before your anniversary date)
Garfield
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,
- - reclarnati-on-aczorn-lisite-d-to-dateand`dffr-i a preceding year, new- is r ances tha are an icipa efi-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
man. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map 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: Gilbert T. Lee
Permittee Name: Central Aggregates, Inc.
Address: P.O. Box 1877
Rifle, CO 81650
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments and/or information that should be
below or attach it to this form along with your written report and map.
SignatureAf Corporate Officer, Owner, or Designee
provided to the Division, please provide it
Annual Report instructions are enclosed.
Date