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~=- <br />RECE[VEp <br />JUN 13 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />American Concrete and Gravel, LLC <br />M-2001-113 <br />Division ~f Minerals and Ceofogy <br />-OPERATION NAME: - Sea-Horse-Ranch-West Grave-Pit- - --- ----- - -- ~. <br />ANNIVERSARY DATE: June 24, 2003 -- - -- _ - -- - <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: <br />Gunnison <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-] 16, 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 />-' reclamati6~ae'complished"toZlate arid-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 yrtnr revised written annual rennrt and anm~al rennrt m~ 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. <br />changes: <br />Permittee Contac[: Robert Gydesen <br />Permittee Name: American Concrete and Gravel, LLC <br />Address: 200 Industrial Park Rd. <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-2966 <br />-"FdR"NSmb~r: `-(970}"6#1=5613' <br />Please verify and make any necessary <br />If you have additional comments and/or information that should be provided to [he 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 />of <br />Date <br />Owner, or Designee <br />M iPERM IT~MASTE R DOCUM ENTSVvI-AF-01 <br />