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os <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~~~~ <br />ANNUAL FEE and REPORT REQUEST <br />rLa Plata Couuty <br />M /M-1981-114 <br />Crader Gravel Pit <br />Juue 27, 2007 <br />REC~t9r~® <br />~~JU~ 0 2 2001 <br />i 'ion of Reclarnation, <br />Mining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />La Plata <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an <br />ope~or shad' submit-the-armuaj~ee; a-repart-snd-msp c'.:c::^^6 !~ extent-of~urrentd;sfi,rhances_tQaffected _ <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinc the previous year and no <br />new chances to the previous year's map are necessary. then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: Walter A. Serfoss <br />Permittee Name: La Plata County <br />Address: 1365 S. Camino Del Rio <br />Durango, CO 81303 <br />Phone Number: <br />Fax Number: <br />If you have additional <br />below or attach it to <br />(970)382-6417 <br />(970) 24~-8279 <br />(col ~4~ -R~~~ <br />information that should be provided to the Division, please provide it <br />with your written report and map. Annual Report instructions are <br />or Designee <br />~/~~~o ~ ~ <br />Date <br />M:NERMITMA57ERDOCIIMENTSUI-AE-04 <br />