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~~ <br />ANNTiAi. FF.F, and REPORT RF.OTiF.ST <br />PERMITTEE NAME: ~ Colorado Gravel Products, Inc. RECEIVED <br />PERMIT NO.: /M-1999-117 ~ JUN 19 2006 <br />OPERATION NAME: Colorado Gravel Products Inc. Division of Minerals ona Deaio®r <br />ANNIVERSARY DATE: June 23, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Saguache <br />In'~"' 1 <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 a`nriual'fee;-a report and `map showing the extent of current disturbances to-affected land, <br />----rcclamation-accomplished-to date and-during the preceding-year;-new disturbances that-are=anticipated to occur' <br />during the upcoming yeaz, 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 refit and annnal reonrt mzn to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may szzffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Kenny Smith <br />Permittee Name: Colorado Gravel Products, Inc. <br />Address: 45247 Hwy 112 <br />Center, CO 81125 <br />Phone Numberi _ (719) 754-2738 4Y __ _ _ <br />Fax Number: (719) 754-2745 <br />~i9~ ~~~- a7yv r/ <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 orporate Officer, Owner, or Designee <br />Date ~ -~ <br />