REP07207

• Permit No: M1977559
• IBM Index Class Name: Report
• Doc Date: 2/20/2002
• Doc Name: 2002 Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE;
ANNL' ~L FEE DUE:
COUN CY:
ANNUAL FEE and REPORT REQUEST
Valco Canon City Concrete Div.
~,, ~~.IVED
M-1977-559
Canon City East Pit
February 22, 2002 pl~i:iaa ui Minerals and GeGIUBY
$688.00 (Due on or before your anniversary date)
Fremont
Accor<~~ng to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary late of the permit, an
operamr shall submit the annual fee, a report and map showing the extent of current d smrbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances [hat 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 :,ttach your revised,written annual repprt antl annual re tLnrt ma~to this ft?rm, P/en ae nnrr rhn! nn
crdeyuureh+ lu~eled nurp IhaG clearly clefiaeures and uu'ludes r/re above elements ores suffice Jar a ,rrrrren
report.
Divisi~•n records indicate the following permittee contact information. Please verify and make any necessary
change,:
Permittee.Contact:. Randy Symons
•' '.Permittee Name: Valco Canon City Concrete Div.
Address:' P:O. Boz 669
730 S. Mactzazie
7.3~ ~aT~,f~~G~€~/Z/~
Canon City, CO 81215-0669
Phone Number: [phone]
Fax Number: [phone]
If you :lave additional comments and/or information that should be provided to the Division, please provide it
below or attach i[ to [his form along with your written report and map. Annual Report instructions are
enclosed.
Signet ire of Corporate Officer or Owner
Date
AA iPER.`_' ~ fNAASTERDOCUMENfSN1-AF~00