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r III Illilllllllll III <br /> a RECEIVED <br /> APR 3 0 20u1 NUAL FEE and REPORT REQUEST <br /> RECEIVE® <br /> PERMITTEE lWXWpl Minerals-and Gefttral Aggregates, Inc. APR <br /> PERMIT NO.: M-1981-006 <br /> RECEIVED <br /> OPERATION NAME: West Rifle Pit Givision of Min,APR . 0 2001 <br /> ANNIVERSARY DATE: April 27,2001 Givision of 10leerelaaad Geology <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: Garfield <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, nev'v 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 vour revised written annual report and annual report map to this form. Please note that tin <br /> adequately labeled ntap that clearly delineates and includes the above elements may suffice {or a written <br /> report. <br /> Division records indicate the following permince contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Gilbert T. Lee <br /> Perminee Name: Central Aggregates, Inc. <br /> Address: P.O. Box 26 <br /> Rifle, CO 81650 <br /> Phone Number: (970)625-3598 <br /> Fax Number: (970)625-1343 <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 /> Signature of Corporate Officer or Owner <br /> L`—d 7-O/ <br /> I Date <br /> M'TERM IT\KASTERDOCLFW NTSN-AF,01 <br />