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<br />> r- <br />11r ~ V <br />AN1VU~ EE an R~PORT REpUEST <br />PERMITTEE NAME: /C & J Gravel Products, Inc. ~ ;~_ ~ F n~a <br />PERMTI' NO.: M-1980-146 ~ ~~ <br />OPERATION NAME: Montoya Pit <br />i~fls!on o.' i. _.... r .~oW, <br />ANNIVERSARY DATE: May 1, 2007 Mining &nG o,...:/ <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date ofthe permit, an operator <br />shall submit the annual fee, a report and- map showing the extent- of current- dishubances- to affected land, <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 vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous year's moo are necessary. then no new man is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />nbove elements mny 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: John Gilleland <br />Permittee Name: C & J Gravel Products, Inc. <br />Address: 27661 U.S. Hwy. 160 E. <br />Durango, CO 81301 <br />Phone Number: (970) 385-4112 <br />Fax Number: (970) 385-5014 <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 Corporat Officer, Owner, or Designee <br />j 1, log <br />Date ~ <br />