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13-!UL-2005 10:27 FROM-Colorado Division of IAinerals & Gaolaav *i30383281D6 T-Oo0 9 0031003 F-124 <br />5SS <br />v <br />A1ViWii T. FT.R and}2Fq T RFt]i~i~'.4T, <br />RE~EIVI~t~ <br />PERl~[I'fTEE NA1vIE: ~Westera Slope Construction Co ~UL 1 $ 2~~~ <br />PERMIT NO.: r~M-I983-209 <br />OPERATION NAME: Benton llawsoa Gravel ~iuision °t Mine~a~> v~ ~~u1o9y <br />ANNNERSARY DATE: July ZS, 2005 ~ <br />ANNUAL FEE DUE: $281.00 (Due on or before your ann2vcrsary date) <br />COIINTY: llclta <br />According to C.R.S. 34-32.5-1 l6 or C.R.S. 34-32-i lti, each year, on the annrv<KSary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of cuzremt disturbances to affected land; <br />reclamation accomplished to date and during the preceding yeas, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the daces for the beginning <br />of active apetations, and the date active operations ceased for the year, if any. <br />Pl act iach nrtA'~'evisert dXYjften annlylj,rennrt ,1nd annual r~no ma~tn this form Please nott~ that an <br />mi¢yuately labeled Wrap that clearly delineates and includes the above elemznts may sr+~ce jet a wr.'tren report. <br />Division records indicate the following petmittce contact infom:atian. Pease verify and make any necessary <br />changes: <br />Permittee Contact: Jack L. Hawkins <br />Permittee Name: Western Slope CansltuGLlon Ca <br />Address: 1221 Flwy 30 <br />Delta, CO 81416-3112 <br />Phone Number: (970) 874-9880 <br />Fax Number: <br />[f you have additional cvmnrents andlor information that should be provided to the Division, please provide it <br />below or a[tach it to this fbrm along with your written report and map. Annual Report instructions are enclosed. <br />Sign •e of Corporate Officer, Ownec, or Desigruee <br />~~ `~ <br />llate <br />~~ ` <br />' ~ ~~ <br />~ ~ <br />` ~ ~ ~~~o- ~~~ ~~o <br />~~ ~~ <br /> <br />