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-!/til <br /> \\\14\I. FF'F and 1(F'I'OR'1' RF( ~'ES"f <br /> RECEIVED <br />PI•:KMI fl h.t3 NAMI'.: ('orrice Gravel Pit, Inc. MaY 26 <br />I'I:'RA111 NO.: J1-1 9811-2 0 3 <br /> - Orviuun of Mmerah and Gnolnpr <br />t)I'I~R:1111)\NAh11{ ('urrierGruvrlPit <br />\NNIVI:IZtiARI' I):\ I h: .lone 29. 21106 <br />ANNI IAI I'1 1( I>I'l )281.1)0 (Uoc on or before your anniccrsan dale) <br />('(>I iN I'1': ~Icva <br />Accordutg w ('.R 1. t4-?2.5-I I6 ur <-.R.ti. ?4-32- 116, each year, on the anmvcrsary dale of the perntit, an opernor <br />shall submit the annual fee, a rclx~rt and Wrap shuumg the extent of current dishtrhances to affected land. <br />rccl:unahon nccon+plished to date and during the precrdinE year, new drsntrhanecs that nt'e anticrpaled to occur <br />dunng the upconung year. rcclantauun that tarll he pcrfornrcJ Dunne the eonune gear, Iltc dates lire the hegmnmg <br />ut-;teut e opet•aluni,.:uxl the date :n•uce uperauuna ec;t:cd h+r the year. rf am. <br />I'Irase attach your revised rvritrcn annu:d renorl •.nr~{rnrt nmN u+ this fnrw Pleusr qulr dtrt! au <br />rtdr•,/uurrn rr,nr•/rr! nmp ;bur r lrur(r drlimvurt and urr/uJrr !hr rebore rlrnrrnrv non +trllirr Jrtr rt +cri!lr~n rr/tru'1. <br />1)ivrsum records mdicatc the following pcmuttcc contact intixmauon. I'Icaxe ccnfy and make any necessary <br />changes: <br />I'ernuttec ('untact: Aerial L ('umer <br />Pennnrcc Name: (Liner Gravel Ptt. Inc. <br />Address: P.O. liox 27059 <br />I knvcr, ('(> 811227 <br />I'hr~:n• \und+cr: 11113) 734-2331 <br />I as Nund~rr j?Ui) 71g ~)$i? <br />If you hove ad~huonal comnunts andrur intirrmauon that should he pruudcJ to the 1)n•rsion, plc;+sc provide n <br />below ar attach n to this titan along wuh your wnttcn report and map. :\nnual Report instructions arc enclosed. <br />'~ <br />r <br />tirgnautrc nl'C'urporatc OITicer. Oamcr. or besigncc <br />'- <br />I );u c <br />