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N - nK <br /> <br />RECEIVED <br />MAR 012004 <br />Division of Minerals & GeoloAY <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Beavers Construction Co./High Mesa Gravel L.L.C. <br />M-2000-067 <br />High Mesa Gravel Pit <br />March 15, 2004 <br />$688.00 (Du~z on or before your anniversary date) <br />Delta <br /> <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 annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation'accompiishcd'to-date-and-during-the pre~din~ year,-new~tishzrtnces'that-are-dntrcipated io-occuY- <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 ~nur revis ~ written anmral re~nrt and annual rep~nrt map to this form. Please note that an <br />adequately labeled map that clearly delineates ami 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: Art Beavers <br />Permittee Name: Beavers Construction <br />Address: <br />.Phone Number: <br />Fax Number: <br />1091A Hwy. 133 <br />P.O. Box 638 <br />Paonia, CO 81428 <br />(970} 872-2323 -- <br />(970)872-2576 <br />Co./High Mesa Gravel L.L.C. <br />35305 Highway 133, Hotchkiss <br />P 0 Box 638 <br />Paonia, CO 81428 <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 Corporate Officer, Owner, or Desi~iee <br />2-2y'oy _ <br />Date <br />