2001-04-19_REPORT - M1991133

• Permit No: M1991133
• IBM Index Class Name: Report
• Doc Date: 4/19/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Valle Escondido
M-1991-133
Valdez Gravel Mine
April 20, 2001
.~
RECEBVED
APR 1 9 2001
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Conejos
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 accomplished to date and during the preceding year, new disturbances 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 attach your revised written annual report and annual resort map to this form. Please rtofe chat an
adequately labeled trap shat clearly delineates and itrc/odes tJre above elements mcry suffice Jor a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Demetrio Valdez
Permittee Name: Valle Escondido
Address: P.O. Box 84
Conejos, CO 81129
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 with your written report and map. Annual Report instructions are
enclosed.
Signature of Corporate Officer or O ner
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ANNUAL Nr.r: and KEYOKT REQUEST
M WERMI'IN1ASTERD000MENTSNI-AF-01