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t!~-j- • ~~' Ir <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Hardrock Sand and Gradel <br />~-1977-443 <br />Moon Pit No 2 <br />November 8, 2005 <br />Ci1J' ~'Y~ <br />RECEIVEC <br />~EC 0 52005 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Moffat <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 />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 anneal report m ~n 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 fallowing permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Pat J. Weber <br />Permittee Name: Hardrock Sand and Gravel <br />Address: P.O. Box 141 <br />Phone Number: <br />Fax Number: _ <br />Craig, CO 81626 <br />(970)824-4053 <br />(970)824-4053 <br />,/1, ~o ,C1Jitiiirrd- ,d~j'~t7'/eS <br />~h/~Y~ /~ <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 />~~~~ hr/~ ow~~2 <br />S ature o Corporate Officer, Owner, or Designee <br /> <br />/l/til/ 2yct ~h .~G - 02 C!/,S- <br />Date <br />