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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t ,~ <br />j~ s <br />ANNUAL E and ORT REQUEST <br />~Sunnyside Gravel <br />~M-1986-033 <br />Hess Pit <br />March 11, 2007 <br />~' <br /> <br />/ MA,~ 16 %i,77 <br />Div1'.= . . ,_ .;ion, <br />~Il:id iy :..L J&fciy <br />$$281.00 (Due on or before your anniversary date) <br />La Plata <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 ieport and map showing the extent of current disturbances io 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 far the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach_your revised written annual report and annual report maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred duringthe previous year and no new changes to <br />the previous year's maa are necessary, then no new map 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 />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: Alton Hess <br />Permittee Name: Sunnyside Gravel <br />Address: 9983 Hwy. 550 <br />Durango, CO 81301 <br />Phone Number: (970) 247-1596 <br />Fax Number: (970) 247-1650 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below r attach ' to this form along with your written report and map. Annual Report instructions aze enclosed. <br />a o rporate Officer, Owner, or Designee <br />-~ ~/ <br />Date <br />