2006-09-14_REPORT - M1999038

• Permit No: M1999038
• IBM Index Class Name: Report
• Doc Date: 9/14/2006
• Doc Name: Annual Fee/Report/Map
• From: Rowe Gravel
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
„ ANNUAL FEE and REPORT REQUEST
Rowe Gravel
v
~M-1999-038
Rowe Gravel
September 21, 2006
$281.00 (Due on or before your anniversary date)
La Plata
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~SEP 14 2006
D'vMinin of Reclamation,
9 and Sarety
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 s~_shmit~h~-armual--fee, a i`eport'ard'map-sl:owing~l:e-eteat-af cu::c::i-3istarbarees-to~ffceted--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 vour revised written annual report and annual report man to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map (All are required regardless of the level of disturbance or absence of disturbance during the previous
year). 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: Brad W. Rowe
Permittee Name
Address:
Rowe Gravel
9134 CR 100
Hesperas, CO 81326
Phone Number: [phone]
Fax Number:
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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.
~~ W
Signature of Corporate Officer, Owner, or Designee
Sc.4~' 10 - 0 6
Date