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9rn~ <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNiiAT, FF.F, and RF,Pf1RT RF.~iTFST <br />d Varra Companies, Inc. <br />+~ M-2001-113 <br />Sea Horse Ranch West Gravel Pit <br />Juue 24, 2006 <br />RECE~VE® <br />~ivi °is n~~M ~r ~s2QQ~ <br />°°d Oept08Y <br />$688.00 (Due on or before your anniversary date) <br />Gunnison <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 report and map showing the extent of cun•ent disturbances to affected land, <br />reclamation accomplished to-date and during the preceding yeai, 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 ynnr revised written anm~al repprt and anmial report m in this form- Please note that an <br />adequately labeled map that cleardy delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: 8120 Gage St. <br />Frederick, CO 80516 <br />Phone Number: (303) 666-6657 <br />Fax Number: (303) 666-6743 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />'f.l ( Cfd~CL ~O~ . <br />Sign re of Corporate Officer, Owner, or Designee <br />~ur'I ~ ZOO(p <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed. <br />