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<br />RECESVED <br />PERMITTEE NAME: <br />YEKbIIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Barnard Quarries <br />b1-1996-079 <br />Barnard Quarry <br />January 29, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Boulder <br />JAN 15 2003 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary data of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of carrent disturbances to affected land, <br />iz ~~ 1~ ~ u 's a e an i1Tg 1e pr ceamg'year, new d~smr Dances at are anuctpated to Decor <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Vl~ace ~tlkach ~nnr revised written anneal report and anneal r~nrt map_tn this form. Please note that an <br />udeguaRa(ti la6e(ed map that clearly delineates and includes the above elements may str7~ce for a lvritten report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />change:: <br />Permittee Contact Chester Barnard <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Barnard Quarries <br />245 Evans St. <br />Y.O. Box 86 <br />Lyons, CO 80540 <br />(303) 823-6977 <br />If you have additional comments and/or information that should be provided to the Division, please provide is <br />belmv or attach it to this form along with your written report and mop. Annual Report instmctions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />/-,l " D~ <br />Dale <br />M 1PGRMITiM ASTERDOCU MENTSRi-AP-01 <br />