2004-05-13_REPORT - M2002049

• Permit No: M2002049
• IBM Index Class Name: Report
• Doc Date: 5/13/2004
• Doc Name: Annual Fee/Report/Map
• From: Rio Blanco County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Rio Blanco County
M-2002-049
Quinn Draw Gravel Pit
May 8, 2004
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~
MAY 13 2004
Division ~f Minerals & GaeloBY
$281.00 (Doe on or before your anniversary date)
Rio Blanco
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
-aperazor_shall submit the annual fee, a report and map showing the -extent of current disturbances to affected
land, reclamation accomplished to date and dunng the preceding year, new disturbances that arc 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 ~mn revised written anm~al report and anm.al re n~ rt mgp 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:
Permittee Name:
Address:
Phone Number:
Fax Number:
Jerry Steele
Rio Blanco County
570 Second St.
Meeker, CO 81641
[phone]
[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.
Signature f Corpora~t fftcer, Owner, or Designee
Lf-ZO -O~f
Date
M:~PERMITVNASTERDOCUMENTSNI-AF-04