2005-06-06_REPORT - M2002046

• Permit No: M2002046
• IBM Index Class Name: Report
• Doc Date: 6/6/2005
• Doc Name: Annual Fee/Report Notice
• From: ephemeral resources llc
• To: dmg
• Media Type: D
• Archive: No

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RECEIVED
JUN 06 2005
PERMITI'EE NAME:
PERMTI' NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Ephemeral Resources, I.LC
M-2002-046
D Road Gravel Ph
April t4, 2005
$688.00 (Duo oa or before your anniversary date)
Mesa
Divisron of Minerals and Geobpy
According to C.RS. 34-32.5-1 !6 or C.R.S. 34-32-116, each year, on the ammiversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of cturent distwbances 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 begimung
of active operations, and the date active opmations ceased for the year, if any.
~ne arineh xaor rnviced written annnal report and annual rnnnrt mn~ fn this fnrm_ Please note that qrt
adequately labeled map that clearly delineates acrd includes the above elements may sugcefor a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
PermitteeContact: Mark Gardner
Permittee Name: Ephernecal Resources, I.LC
Address: 1225 S. 7th St.
Grand Junction, CO 81501
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, pleose provide it
below or attaoh it to this forth along with yow written report and mep. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Harold F. Elam, Manager
Dates-r