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°~ <br />~~ ~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAMF,: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Varra Companies, Inc. <br />M-2001-113 <br />Sea Horse Ranch West Gravel Pit <br />June 24, 2004 <br />RECER~~® <br />JUL 212004 <br />Division of Minerals & GeoloBY <br />$688.00 (Due on or before your anniversary date) <br />Gunnison <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 accomplishes io date and-during th-- a prece3ing year, new disturbances thaw are anficipate~lc -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 yeaz, if any. <br />Please attach ynnr revised written anmral report and anmral report m}tp 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: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: 8120 Gage St. <br />Frederick, CO 80516 <br />Phone Number: (303) 666-6657 <br />Fax Number: <br />N " <br />~3-C~6 -~7y3 <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 />r.l. ~ (/dt.LG•- <br />Signa of Corporate Office"r,/Owner, or Designee <br />~'Z(v ' Or <br />Date <br />