2001-02-09_REPORT - M1998034

• Permit No: M1998034
• IBM Index Class Name: Report
• Doc Date: 2/9/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

.- � IIIIIIIIIIIIIIIIIII � ���
999 RECEIVED
ANNUAL FEE and REPORT REQUEST FEB 0 9 2001
Division of Minerals eno tiselogy
PERMITTEE NAME: Mountain Park Concrete, Inc.
PERMIT NO.:
OPERATION NAME: Parshal Pit
ANNIVERSARY DATE: March 17,2001
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Grand
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, 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 -late that an
adequately labeled ntap that clearly delineates and includes the above elements tnav suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: M. Joe Docheff, 111
Perm ittee Name: Mountain Park Concrete, Inc.
Address: P.O. Box 856
Granby, CO 80446
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.
/7 l
gnat e -Corporate cer or weer
Date
M NERMITvMASTERDOCUMENTSM-AF-01