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<br /> ANNiiAi. FF,F, and RF.PnRT RF.niiF.S T /°o ; y <br /> V <br />PERMITTEE NAME: Reese Contracting <br />PERMIT NO.: M-1996-050 N~V Z i 1„;3 <br />OPERATION NAME: Reese-Logan Sand & Gravel Pit nivlsionofMinerats <br /> ,;,,,, feolupu <br />ANNIVERSARY DATE: November 25, 2003 <br />ANNUAL FEE DUE: $281.00 (Due on or before your annive rsary date) <br />COUNTY: Logan <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 />~„h?n~Il~ynit_the~nnual_fee,_a~eporLand_map_Shnwin~_eztPnt of Current_dicn,rhances_tn~ffected~aud __ . <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 anneal rennrt and annual report man 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: Galen Reese <br />Permittee Name: Reese Contracting <br />Address: fox-1-1-4 <br />~~ <br />P. CJ~ Q~7 ~ /0 5 <br />Af t,~ov~11 C.o ~o7a~ <br />Phone Number: (970) 522-0867 <br />- FaxNumiser: - --"(970)"522=4751"'- <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate ficer, Owner, or Designee <br />/i/~~lva <br />Date <br />M:~PERMITVNASTERD000M ENTSVN-AF-01 <br />