2005-01-24_REPORT - M1977023

• Permit No: M1977023
• IBM Index Class Name: Report
• Doc Date: 1/24/2005
• Doc Name: Annual Fee/Report/Map
• From: Valco Gunnison Concrete Division
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNTIAT. FF.F, and RF,Pt7RT RF.nTTFST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME;
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Valco Gunnison Concrete Division
M-1977-023
Ready Mix Pit
January 23, 2005
$688.00 (Due on or before your anniversary date)
Gunnison

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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 ~howing_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 ynnr revised written anneal rennrt and anneal r~nrt m 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: Ed Stewart
Permittee Name: Valco Gunnison Concrete Division
Address: P.O. Box 837
Gunnison, CO 81230
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.
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Signature of Corporate Officer, Owner, or Designee