REP14208

• Permit No: M1978323
• IBM Index Class Name: Report
• Doc Date: 11/6/2002
• Doc Name: 2002 Annual Report
• From: Parkerson Construction Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Parkerson Construction Co.
M-1978-323
Woodring Pit
November 22, 2002
NOV 0 62002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Mesa
According to C.R.S. 34-32.5-I ]6 or C.R.S. 34-32-1 ]6, each year, on the anniversary date of the permit, an operator
shall submit-the =annual'-fee; a-report and map-showing-the extent of carrent'distutbances to affected land;_
- reclamation accomplished to date and during [he preceding year, new disturbances that~are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, [he dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual reuort and annual report map to this form. 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 pemtittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alan Parkerson
Permittee Name: Parkerson Constmction Co.
Address: 710 S. 15th St.
Phone Number:
Fax Number:
Grand Junction, CO 81501
[phone]
[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 instmctions are enclosed.
Sign ture of Cor orate Officer, Owner, or Designee
-O
Date
M iPERM I7IMASTERD000MENTSN7-AF-OI