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~~~~ - - <br />ANNUAL FEE and REPORT REQUEST <br />Q~~ i <br />PERMITTEE NAME: Webster Sand & Gravel Division of F. <br />Mining any _ <br />PERMTI'NO.: M-1981-235 ~~~~ <br />~si_•~~~E9~~ <br />OPERATION NAME: West Tennessee <br />ANNIVERSARY DATE: Apri122, 2007 oivi,~4PR Z,?D~j <br />o„ , - <br />:~ ; ,,. <br />ANNUAL FEE DUE: $$688.00 (Due on or befor~syoyr.anniversary date) <br />v . „y V qv .e.Hfl <br />COUNTY: Lake 'Y <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 annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcomingyear, 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 annual report and annual reuort mau to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinti the previous year and no new chanties to <br />the previous year's moo are necessary, then no new mau 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 Daryl R. Webster <br />Permittee Name: Webster Sand & Gravel <br />Address: P.O. Box 1834 <br />Colleyville, TX 76034-1834 <br />Phone Number: (719) 486-0427 <br />Fax Number: (719) 486-0427 <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 />Si atur Corporate Officer, Owner, or Designee <br />Date <br />