2005-09-21_REPORT - M1981058

• Permit No: M1981058
• IBM Index Class Name: Report
• Doc Date: 9/21/2005
• Doc Name: Annual Fee/Report/Map
• From: Thomas F & Ginger L Latham
• To: DMG
• Media Type: D
• Archive: No

/irsRPi
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
T~h mas F & Ginger L Latham
"M-1981-058
DeBeque Gravel Pit
September 7, 2005
~~M
RECE~~~~l~
~EP 2 12005
Division of Minerals and Geology
$688.00 (Due on or hefore your anniversary date)
Mesa
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
~hatl-snbnrit-tlte-amtrral-fee; a`report-arid-map s7lowing-the extent of current~t~barices io-ate to an ,
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 anmral report and anneal report ma,p 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: Harold F. Elam
Permittee Name: Thomas F & Ginger L Latham
Address: 1225 S. 7th St.
Grand Junction, CO 81501
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.
Signatur Co orate ~er, Owner, or ignee
Date