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.~ <br />~~v <br />~>- <br />;a. ,- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Varra Companies, Inc. <br />M-1984-036 <br />Dakolios Pit No. 1 <br />June 1, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />JU`l 0 i ~~~~ <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze 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 ynnr revised written annnal report and annnal report map, to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffcefor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: 8120 Gage St. <br />Frederick, CO 80516 <br />Phone Number: (303) 666-6657 <br />Fax Number: (303) 666-6743 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />Signa a of Corporate Officer, Owner, or Designee <br />1 June 2005 <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed. <br />