REP14669

• Permit No: M1987171
• IBM Index Class Name: Report
• Doc Date: 4/21/2004
• Doc Name: 2004 Annual Report
• From: Kiewit Western Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Kiewit Western Co.
M-1987-171
Fountain Colony Pit
May 9, 2004
'1~I
RECE~VEb
Iw~••~~ APR 21 ZOpy
~^'~oa of IbtoeraJs oad Ceolo9Y
$688.00 (Due on or before your anniversary date)
EI Paso
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
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
- -reclamation accomplishea to date and during the preceding year, new'disturbaoces 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 aftach~nnr revised written annual report and annual report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffce for a written report,
Division records indicate the following pernrittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Tony Collins
Permittee Name: Kiewit Westem Co.
Address: 7926 S. Platte Canyon Rd.
Littleton, CO 80128
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 withysur~ngitten report and map. Annual Report instructions are enclosed,
of Corporate Officer, Owner, or Designee
-/3 -oy
Date