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fr' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Brannan Sand & Gravel Company <br />M-1980-183 <br />Pit 29 <br />January 8, 2002 <br />RECEIVED <br />JAN 2 2 2002 <br />Diuisian of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Adams <br />According to C.R.S. 34-32.5-] 16 or C.R.S. 34-32-I 16, 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 vour revised written annual report and annual report moo to this forth. Please mote thnt att <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 />Pertniuee Contact: Fred J. Marvel <br />Permittee Name: Brannan Sand & Gravel Company <br />Address: 4800 Brighton Blvd. <br /> Denver, CO 80216 <br />Phone Number: (303) 534-1231 <br />Fax-Number: (303) 534-1235 - - - - <br />If you have additional comments andlor 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 />Signatur of Corporate Officer or Owner <br />1 ~- o ~. <br />Dale <br />M.~PER AI ITV.1ASTER DOC U M ENTSN7-AF-01 <br />