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<br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME R <br />i <br />d <br />F <br />t ~ECE~ VED <br />: anar <br />u <br />y <br />on <br />PERMIT NO.: M-1986-002 - - ~'B 2 5 20~ <br />OPERATION NAME: Whitewater Quarry Division of Mi <br /> nerals and Eeaingy <br />ANNIVERSARY DATE: February 26, 2002 <br />ANNUAL FEE DUE: $281.00 (Due on or before your an niversary date) <br />COUNTY: Mesa <br />According [o 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 [he extent of current disturbances to affected land, <br />- reclamation accomplrhed-to-date'and-during-the-preceding year;-rtew 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 annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates atuf includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rudy Fontanari <br />Permittee Name: Rudy Fontanari <br />Address: 3316 E. 3/4 Rd.- Rt. 1 <br />Clifton, CO 81520 <br />Phone Number: (970) 434-7948 <br />--- Fax Number:- - --- --- - --- ------- <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 />~,.~,~~~ <br />1 ure of Corporate Officer or Owner <br />~- ~/- 0,~2 ---- - - - <br />Date "~ <br />M iPERMINNASTGRDOCUMENTSN-I-AF-01 <br />