2005-06-06_REPORT - M1985001

• Permit No: M1985001
• IBM Index Class Name: Report
• Doc Date: 6/6/2005
• Doc Name: Annual Fee/Report Notice
• From: glancier gravel products
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
P1iRh~IIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Glader Gravel Products
M-1985-001
d&dPit
done 27, 200~s
5281.00 (Doe on or before your anniversary date)
La Plata
JUr9 0 ti 2u05
0lvlolon of n9lncmla~, Geology
According to C.R.S. 3432.5-116 or C.R.S.-3432-116; each year, on the a~miversazy date ofthe permit, ~ operator
shall submit the annual fee, a report and map showing the extent of crarent disturbances to affected land,
-, te.~ncLduring the_.rnecpdin~yg~ new distur~tces that are anticipated to occur
during the upcoming year, reclamation that will be performed during the cornir-g year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
PI s. aftn h pnnr revicwl wriMen annual ~ rt snd annosl r~~rt msp to thia fnrn~_ plpgfg gpte that aA
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittce contact information. Please verify and make any necessary
Changes:
Permittee Contact: Jim Hehnericks
Permittee Name: Glacier Gravel Ptvducts
Address: 995 Hwy. 3
Durango, CO 81301
= Phone-Number.=~-=(970)-259=3995- -
Fax Number: [phone]
If you ]rave,~dditional commetds 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.
Sign~ature~of~Co~r'porate Officer, er, or Designee