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RECEIVED <br />MA,~ 17 2003 <br />PERMITTEE NAME: Beavers Construction CoJHigh Mesa Gravel L.L.C. Division of Minerals and Geofagy <br />PERMIT NO.: M-2000-067 <br />OPERATION NAME: High Mesa Gravel Pit <br />ANNIVERSARY DATE: March 15, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Delta <br />Accordins to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the Hermit, an onerator <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 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 ym~r revised written anneal re~prt and annual report m n 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. Please verify and make any necessary <br />changes: <br />Permittee Contact: Art Beavers <br />Permittee Name: Beavers Construction Co./High Mesa Gravel L.L.C. <br />Address: 1091A Hwy. 133 <br />P.O. Box 638 <br />Paonia, CO 81428 <br />Phone Number: (970) 872-2323 <br />Fax Number: (970) 872-2576 <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 />Currently innvolved in mining and reclamation plan. Technical revisions for <br />curre'/n)t~map will be furnished(//upon ccmpletion. <br />Signature of Corporate Officer, Owner, or Designee <br />3-/~ -03 <br />Date <br />M:NERMI71MASiERDOCUMENiSN1-AF-OI <br />