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<br />PERMITTEE NAME: Richard E. Curry Marilyn L. Curry dba Tri-County Gravel <br /> R~~ <br />PERMIT NO.: M-1977-205 '~'VE® <br />OPERATION NAME: Tri-County Gravel NpV 18 ~ <br />ANNIVERSARY DATE: November 29, 2003 <br /> Division of Minerals and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Delta <br />_According to C.R.S. 34-32.5-1 ] 6 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-exienY_of cuxcextt_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 ynnr revised written annnal re~nrt and annnal rennrf main to 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: Richard or Thomas E. Curry <br />Permittee Name: Richard E. Curry Marilyn L. Curry dba Tri-County Gravel <br />Address: P. O. Box 566 <br />Hotchkiss, CO 81419 <br />_ '- one- um ei•;_= _ (970) x72-3545 <br />Fax Number: (970) 872-3792 ~`' ""` = ~ _ -= - - _ <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 instmctions are enclosed. <br />Signature of C ~ orate Officer, Owne , or Designee <br />U /U <br />Date <br />M:\PERM IT\MASTERDOCUM ENTS\M-A F-01 <br />