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~/~~ f R~ i <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Grand Gravel ~~~ <br />!'1VI-1998-019 <br />Grand Gravel Pit <br />August 11, 2005 <br />k/S <br />~J <br />r(• <br />~Uu 0 'i 2005 <br />$281.00 (Due on or before your anniversary date) <br />Grand <br />cA cordm~ g to C:ItS-34=32:5=1'Y6-br'C:I~S:-343-2=id G;-eaeh-year; on-theanniversary dateof the_pernut, an operator <br />shalt-submit-the annual-fee a report and map showing the extent of current disturbances to affected 1"and, -" <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 />PI ae ce attach ynnr revised written anm~al re~nrt and anneal report man 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 following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard E. Curry <br />Permittee Name: Grand Gravel <br />Address: P.O. Box 566 <br />Hotchkiss, CO 81419 <br />Phone Number: (970x8-72=3545 - - -- - <br />Fax Number: (970) 872 13792 <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 />Signature of C porate Officer, weer, or Designee <br />7 ~/3 ~bs <br />Date <br />