REP19961

• Permit No: M1981132
• IBM Index Class Name: Report
• Doc Date: 11/1/2002
• Doc Name: 2002 Annual Report
• From: Valco Lamar Concrete Division
• To: DMG
• 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 REpUEST
Valco -Lamar Concrete Division
M-1981-132
Lamar West Pit
November 5, 2002
$688.00 (Due on or before your anniversary date)
Prowers
RECES VED
NOV 0 t 1002
Division of Minerals and Geology
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 distwbances to affected land,
reclamation accomplished to date and dwing the preceding year, new disturbances that aze anticipated to occur
dwing 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 attach your revised written annual report and annual report map to this form. P/ease note that an
adequately labeled -nap that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary'
changes:
Permittee Contact: George S. Gotto III
Permittee Name: Valco -Lamar Conctere Divsion
Wayne Adams
Address: P.O. Box 59]
Lamar, CO 81092
Phone Number: [phone]
Fax Number: [phone]
Lamaz, CO 81052
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 instructions are enclosed.
.w
Signature of Corporate Officer or Owner
/a-i7 02
Date
M-PERMIT-MASrERDOCUMENTS/M-AF~2 DOC