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Cs~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />)/ ATVNiiAi, FF.F. and RF.PtIRT RF,t7i1F,ST <br />R & R Regester Enterprises, Inc. <br />M-2000-088 <br />Antero Gravel <br />May 31, 2006 <br />RECE1~/ED <br />~~Mar~4 zoos <br />Givieien of Minetela and Geology <br />$688.00 (Due on or before your anniversary date) <br />Park <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-precedingyear,-new-disturbances-thaYare-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 annnal re~nrt and annnal re~nrt m 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: Robert C. Regester <br />Permittee Name: R & R Regester Enterprises, Inc. <br />Address: 844 Beaver Pond Dr. <br />Divide, CO 80814 <br />Phone Number: __(719) 686_8744 _ _ - - -- __ _ - - . - - - :.. - <br />Fax Number: (719) 686-1184 <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 />Officer, Owner, or Designee <br />3 'G~l- <br />Date <br />