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<br />ANNiiAI. FF.F, and RF.Pf1RT RF.QiiF.ST p rr++ <br />PERMITTEE NAME: Barnard Quarries ~A~ 2 7 2QQb <br />PERMIT NO.: M-1996-079 <br />OPERATION NAME: Barnard Quarry Division of Minerals and Geology <br />ANNIVERSARY DATE: January 29, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <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 />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 ynnr reviled written anneal rennrt and anm~al reQnrt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Chester Barnard <br />Permittee Name: Barnard Quarries <br />Address: <br />Phone Number: <br />Fax Number: <br />245 Evans St. <br />P. O. Box 86 <br />Lyons, CO 80540 <br />~C <br />N <br />.Vc <br />~(/ <br />(303)823-6977 <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 />C~1~~i 7, /~/,vv,~,~GU,~/ <br />Signature of Corporate Officer, Owner, or Designee <br />~- ~G ~ ~ ~ <br />Date <br />