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<br /> RECE!\/ED <br />and REPON"1~ RF'(jl'F'tih <br />4\VI~AI F'b'M' <br /> . <br />MAR 2 4 ~~ <br />PI'.RMI I'I'1'G tvAh11.: Ililltnp :\quatic Imcstmcnty. LL(' `"'' ""'' '~ '''°`°'''• ""' I"''~ <br />1'I:kMff NO.: ~1-200J-012 <br />OPf:kATlO1\ \AMl{: Raindnnce Sand •rnd Gravel \linc <br />ANNIVEkSAkI' I)A I Ic: March ~. 2(1(16 <br />Al~~ll':\I I F f I )l'F: 5688.00 (Uuc on nr before your anniversary date) <br />('<>(\ I Y Weld <br />Aaordmg to ('.k.S. 34-32.5-1 IG or l'.k.S. 3d-32-i 16. teach year, on the anniversary dote of the pernut, an o{xnnor <br />,hall suhnul the annual tcc. a report and map shoaang the c>;icnt of current disturbances to alTcctcd land. <br />rccl:nnauon accomplished to date and dunng the prcccding your, rn tv disturbances that 8rC ailill'Ipah'd k) Ol'CUf <br />dunng the upcoming year. reclam;nion th:u atll he prrlitrnxd donne du cornutg year, the dates tix the lxginnmg <br />tit achy uprrattun.. and the date active upcruwm ceased tirr ;hr cc;tr, tl :nn <br />I'I~.avr attach roar nviced written anmral reunrt and annual [court uuut In [hip 1'nrm- 1'Jelrre' nafC llNtt tin <br />udryuurrly lufielyd rump that clearly delineates and ruclndes the ulrure eleruents nu>_v .t'uJ)'ree (rrr cr written n/xnY. <br />Division records mdtcate the tbllowing pcrmittec contact inlurntabon. Please ven(y and make any ncressan <br />changes: <br />I'crmittcc Contact: Martin Lind <br />I'rnniurr \antc: Ildltop :\yuunc Invcstntcnts, LLC <br />\~Lhr,~~. 162> I'chc:m Lakes 1't.. Ste. 201 <br />\\'tttdax, ('U \I1i511 <br />I'h.m. Number. (970)GHG-5828 <br />I :n >,unihrr <br />II vuu have additional comments and itr inlbrntation that should lx pruvidrJ to the I)ivisiun, phase puvvtdc it <br />below ur uttuch/fn hto this form along ~~ nh your wntten relwrt and ncgt.:\nnual keport instructions arc enclosed. <br />' // <br />f <br />Stgnat ~ (Cor1 )tTiccr, (Avncr, or Ihsigncr ^-\ U\ <br />-3\Za~a`-T - - - - <br />I)ulc <br />