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ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: Morgan Sand and Gravel DEC 2 0 2000 <br /> PERMIT NO.: M-1977-094 <br /> OPERATION NAME; Westhoff Pit Division of Minerals and Geology <br /> ANNIVERSARY DATE: December 20,2000 <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: Morgan <br /> 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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year—new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report man to this form. Please note that an <br /> adequately labeled n:ap that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Pennittee Contact Gary Westhoff <br /> Permittee Name: Morgan Sand and Gravel <br /> Address: P.O. Box 1443 <br /> Ft Morgan, CO 80701 <br /> Phone Number: (970)867-8074 <br /> Fax Number: (970) 867-8074 <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> Z�Z" /' ?", <br /> Sig tty o O Ic r caner <br /> Z2-10 <br /> Date <br /> M.TERM ITWASTERDOCU MENTSN-AF-0I <br />