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<br />~~~~~~~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />North Weld Gravel <br />M-1976-018 <br />North Weld Gravel <br />October 17, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />SEP 2 9 2003 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />---shall-submit-the-anneal-fee; a-report-and-map-showing-the-extent-of-cunear-disturbances-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 xpnr revised written anneal rennrt and annual re nn rt m ~n to this form. Please note that an <br />adequately labeled map that clear/y delineates and includes the above elements may suffice for a written report. <br />Division records indicate ~ ee con <br />changes' nclosed is an updated map showing approximately 1 acres mined <br />for 2003. <br />Permittee eroy A. Bellmore <br />Permittee Name: North Weld Gravel <br />Address: 13480 WCR 100 <br />Nunn, CO 80648-9700 <br />-Phone-Number: (970) 897-2252 _ _ _ _ , __ <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 />Signature of or o ate Officer, Owner, or Designee <br />Date <br />tember 26. 2003 <br />M:~PERMITU1ASTERD000MENTSVN-AF-01 <br />