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. • III IIIIIIIIIIIII III • �ECE,� <br /> Ep <br /> ANNUAL FEE and REPORT REOUEST AUG 2 4 2001 <br /> PERMITTEE NAME: Dilleys Sand & Gravel Dtvtstonof Minerals and Geology <br /> PERMIT NO.: M-1986-105 <br /> OPERATION NAME: Vondy Pit <br /> ANNIVERSARY DATE: August 29,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Morgan <br /> According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-116,each year, on the anniversary date of the permit, an operator <br /> shall submit-the-annual- feera-reporL.and map-showing the 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 map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Vernon Dilley <br /> Permittee Name: Dilleys Sand & Gravel <br /> Address: 1914 Edmunds St. <br /> P.O. Box 125 <br /> Brush, CO 80723 <br /> Phone Number: (970) 842-2810 <br /> Fax Number: (970) 842-2284 <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 enclosed. <br /> Signature of Corporate Officer or Owner <br /> $ - 21 - 0 / <br /> Date <br /> N7:WERNIMMASTERDOCUMENrSW-AF 01 <br />