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~.° <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />ANNUAL FEE and REPORT REQUEST <br />Varra Companies, Inc. <br />M-1978-056 <br />Durham Sand & Gravel Pit <br />June 1, 2002 <br />RE~EI!/ED <br />lUN 2 5 2002 <br />Division of Minorals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 I6, each year, on the anniversary date of the permit, an operator <br />shall-submit the-annual -fee-a-report-and-msp-showing-the-e.~ttent-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 Your revised written annual report and annual report map 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: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: P.O. Box 2049 <br />Broomfield, CO 80038-2049 <br />Phone Number: (303) 666-6657 <br />Fax Number: <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 />~ ?~ ~. <br />Signa a of Corporate Officer or Owner <br />3 June 2002 <br />Date <br />M:iPERMITiMASTF,RD000MENTSIhLAF-0t <br />