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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Richard Fryrear <br /> f~uV ~ i [UU;i <br />PERMIT NO.: M-1998-071 Division of i~eciamation <br /> <br />OPERATION NAME: <br />Fryrear Gravel Pit , <br />Nlinin9 and Safety <br />ANNIVERSARY DATE: November 6, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Yuma <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 operator <br />shalLsubmiLthe. annual~'ee, a-reparLand_mapshowing~he_extent of- current--disturbances-to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <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 />Please attach your revised written annual report and annual report man to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred during the arevious vear and no new chances to <br />the arevious vear's man are necessarv. then no new man is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard Fryrear <br />Permittee Name: <br />Address: <br />Richard Fryrear <br />8085 CR 13 <br />Haxtun, CO 80731 <br />Phone Number: (970) 774-6551 <br />Fax Number: <br />If you have dditional comments and/or information that should be provided to the Division, please provide it <br />below a clyit to this~fo~n along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corpq{p4e Officer, Owner, or Designee <br />fo~3~10(0 <br />Date <br />