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U~~ ~ <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 />t/ Reese Contracting <br />M-1996-050 <br />Reese-Logan Sand & Gravel Pit <br />November 25, 2006 <br />Z <br />I ~~~ <br />,~ <br />~~.r_ ~) <br />~1.~~~~~~~J <br />~Jivisior, :. ? - '~ -non, <br />iVl.i1.;; :...1:: a2ie,f <br />$281.00 (Due on or before your anniversary date) <br />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 />shall submit the annual fee, a report and map showing the extent of curcent_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 yeaz, 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 mao to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the previous vest's map are necessary, then no new mao is required, provided that the Oaerator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Galen Reese <br />Permittee Name: Reese Contracting ~4/Y,'~ <br />Address: P.O. Box 105 L <br /> Atwood, CO 80722 t~ <br />Phone Number: (970) 522-0867 <br />Fax Number: (970) 522-0867 ~ <br />If you have additions] 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 />t~~ ~~Q.l?~. <br />Sign ure of Corporate Officer, Owner, or Designee <br />'I~-O~ <br />Date <br />