REP21322

• Permit No: M1992102
• IBM Index Class Name: Report
• Doc Date: 2/26/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Western Gravel, Inc.
M-1992-102
South D-20 Pit
February 24,2003
FiECE1VED
FEB 2 6 2003
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
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- m- ap showing t tl-e exteni of cwrent disturbances to of ected-lan~lc - -
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 £or the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ~nnr revised written annual rgrnrt and annual rennrF mar to this form. Please note that an
adequately labeled map 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:
Permittee Name:
Address:
Judy DeVincentis
Western Gravel, Inc.
3001 N. Townsend Ave.
Montrose, CO 81401
-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.
C-
Si tore o orporate Officer, Owner, or Designee
~~
Date
M:~PERMITMASTERDOCUMENTSVvt-AF-01