2001-09-28_REPORT - M1990098

• Permit No: M1990098
• IBM Index Class Name: Report
• Doc Date: 9/28/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

JY III IIIIIIIII IIII III
999
ANNUAL FEE and REPORT REOUEST
RECEIVED
PERMITTEE NAME: Asphalt Paving Company SEP 2 3 2001
PERMIT NO.: M-1990-098
Division of Minerals and Geology
OPERATION NAME: Perry Pit
ANNIVERSARY DATE: September 29,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Weld
According to C.R.S. 34-32.5-1 16 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,
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 your revised written annual report and annual report map to this form. Please note that an
adequately labeled snap 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: James R. Krattenmaker
Permittee Name: Asphalt Paving Company
Address: 14802 W. 44th Ave.
Golden,CO 80403
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.
ZA
Signature of Corporate Officer or Owner
q/y71r
Date
M'TERM INIASTERDOCUM ENTS\M-AF-0I