2001-08-13_REPORT - M1994053

• Permit No: M1994053
• IBM Index Class Name: Report
• Doc Date: 8/13/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

40
II99
ANNUAL FEE and REPORT REQUEST RECEIVED
PERMITTEE NAME: Base Products f.�j = 3 2001
PERMIT NO.: M-1994-053 Division of Minerals and Ge01W
OPERATION NAME: Base Product Gravel Pit 1
ANNIVERSARY DATE: September 13,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Montrose
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 report may to this form. Please mote that an
adequately labeled map that clearly delineates and includes the above elements may suffice far a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Tony F. Appelhanz
Permittee Name: Base Products
Address: 62339 W. LaSalle Rd.
Montrose,CO 81401
Phone Number: [phone]
Fax Number:
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.
Signa e of Corporat Officer or Owner
F- /6 - a10
Date
MAPERMrnMASTERDOC1MENrSW AF 01