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<br />~~~~~ <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br /> <br />Rio Grande Count <br />M <br />1978 <br />071 <br />- <br />- <br />Del Norte Gravel Pit <br />November 25, 2007 <br />REC~~~E® <br />NOV 15 2GUI <br />Division of kecla <br />Mining and g~ ~ <br />$$791.00 (Due on or before your anniversary date) <br />Rio Grande <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occu~uring the tipcoming-year,-reclamation-that-will-be performed during the coming, year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual resort maa to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, resort, and <br />associated maa. If no new disturbances or reclamation have occurred durinc the previous year and no <br />new chances to the arevious year's map are necessary. then no new man is required, urovided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: Patrick Sullivan <br />Permittee Name: Rio Grande County <br />Address: 168 N. Washington <br />Monte Vista, CO 81144 <br />Phone Number: (719) 852-4781 <br />Fax Number: (719) 852-0305 <br />If you have additional comments and/or information that should be provided to the bivision, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />en~ ~ r <br />Signature of Corporate Officer, Owner, or Designee <br />/3 /~OJ O7 <br />Date <br />M:~PERMI7IMASTERDOCUMENTSUI-AF-04 <br />