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~`L <br />l~_~ "°~ <br />RECEIVED <br />rrT 3 0 ?006 <br />Divis~~„ .,~ rteclamation, <br />Mining and Safety <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />'~ ANNUAL FEE and REPORT REQUEST R~ <br />'~ High Flume Gravel Pit, Inc. v~C,, ~'ved <br />/M-1990-093 / 262p 6 <br />Q~d~OVr? ~ <br />High Flume Gravel Pit vr~~; oF; <br />October 24, 2006 ~a~ <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 the permit, an operator <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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinti the previous year and no new chanties to <br />the previous year's moo are necessary. then no new man is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Mazda L. Talvitie <br />Permittee Name: High Flume Gravel Pit, Inc. <br />Address: C/o Four Corners Materials <br />P.O. Box 2707 <br />Durango, CO 81302-2707 <br />Phone Number: (970) 247-2172 <br />Fax Number: (970) 259-3631 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions aze enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />z4-OC€ -2cYJ ~ <br />Date <br />