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~~ <br />~~ ~ <br />ANNilAi. FF.F. and RF,PnRT RF.niTFST <br />l~t..'~ v <br />PERMITTEE NAME: Grand Junction Pipe & Supply Co. D~~ 2 (~ Z(j'1~4 <br />PERMIT NO.: M-1998-084 <br />Bfalufon of ItSincrois ~ Gaolo~y <br />OPERATION NAME: Whitewater Pit <br />ANNIVERSARY DATE: January 7, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 renort and mau showing the extent of current disturbances_to_affepted_land, <br />reclamation accomplished to date and during the preceding yeaz, 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 your revised written anmral renort and annnal renort main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Edward J. Settle <br />Permittee Name: Grand Junction Pipe & Supply Co. <br />Address: P.O. Box 1849 <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4604 <br />---Fax-Number:---- (970)243-6703 - -- <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. Annua] Report instructions aze enclosed. <br />Signature of Co orate Officer, Owner, or Designee <br />l2 -'14-200¢ <br />Date <br />