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<br />RECE~VE~ <br />ANNiiAi, FF.F. and REPORT RFOiiF.ST MAY 15 2003 ~~ {' -. , <br />5 '.,~..a <br />Division ~f Minerals and GeatogN` <br />c.: Owt <br />PERMITTEE NAME: Rio Blanco County ~` "` <br />~,ylstw ~" <br />PERMIT NO.: M-2000-037 <br />OPERATION NAME: Baxter Pass Gravel Pit <br />ANNIVERSARY DATE: May 10, 2003 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <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 />opeiatbi §tiall subtnif the annual fee, a report and map showing tfie extant of current-disturbances to affecfe~d~' <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 annnal report and anmial report m n this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice jor a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jerry Steele <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br />Meeker. CO 81641 <br />Phone Number: (970) 675-8644 <br />Fax Number: (970) 675-5211 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />o / <br />Signatu of Corp 'ate Officer, Owner, or Designee <br />Date <br />_i <br />M:~PERM ITVvfASTERDOCUMEN7'SVv1-AF-04 <br />