2006-02-23_REPORT - M1995005

• Permit No: M1995005
• IBM Index Class Name: Report
• Doc Date: 2/23/2006
• Doc Name: Annual Fee/Report/Map
• From: Mountani Region Corporation
• To: DMG
• 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:
Mountain Region Corporation
M-1995-005
Orchard Mesa Aggr
February 16, 2006
$688.00 (Due on or before your anniversary date)
Mesa
FEB 2 3 2006
Division of Miner,. .k
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
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 the year, if any.
Please attach xpur revised written anneal report and anm~al re~Drt main, to this form. please note that an
adequately labeled map that clearly delineates and includes the above elements may since far a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Sandra R. DuCray
Permittee Name: Mountain Region Corporation
Address: 117 - 29 3/4 Rd.
Grand Junction, CO 81503
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 Corporate Offic •, Owner, or Designee
_ ~ ~/u /~ ~
Date