2000-09-10_REPORT - M1995056

• Permit No: M1995056
• IBM Index Class Name: Report
• Doc Date: 9/10/2000
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

ANNUAL FEE and REPORT REQUEST
Weber Sand & Gravel, Inc.
M•1995-056
Weber Pit No 2
September 18, 2001
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Division of Minerals and i.... .
$688.00 (Due on or before your anniversary date)
Archuleta
According to C.R.S. 34-32.5-I 16 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 [he upcoming year, reclamation [hat will be performed during [he 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 map to this form. Please note that art
adequnteh~ [aheled mnp that clearly delineates mtd includes dte above elements may since fora ~rrrtlen report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
PetTnittee Contact: Kathy or Andy Webt:r
Pennittee Name: Weber Sand & Gravel, Inc.
Address: 2980 E. Hwy. 160
Pagosa Springs, CO 8 1 147-974 1
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
-~L ~~
Signature of orpora[e Officer or Owner
q~ `~ - o i
Date
MdPER Mmh1ASTERD000MENT5V.1-AF~01