2003-06-30_REPORT - M2000030

• Permit No: M2000030
• IBM Index Class Name: Report
• Doc Date: 6/30/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

R€CEIVED
JUN302003
Division ~f Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
AGRI-DLD, LLC
M-2000-030
AGRI-DLD Gravel Pit
July 5,2003
$688.00 (Due on or before your anniversary date)
La Plata
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,
eeelamarien-aceomplished-to-dare-ard-during-the-preceding-year,-new-disturbances-that-are-arrticipated-to-occur- - I
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 ymrr revised written anmral rennrt and annual rennrt maw to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Don Gosney
Permittee Name: AGRI-DLD, LLC
Address: P.O. Box 367
Bayfield, CO 81122
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.
M. r
Signature of Corporate Officer, Owne r Designee
Tug ~5.7~3
Date
M:\PERMITMASTERDOCUMENTS\M-AF-01