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<br />~^cU <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />1~ANNiiAi. FF.F, and RF.Pt1RT RF.niTFST <br />r/Ouray County <br />i/M-1978-268 <br />Dallas Gravel Pit <br />March 22, 2006 <br />R~C~tV~D <br />MAR 0 ~ 2006 <br />~ Orvision of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Ouray <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />occur during the upcoming 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 vnnr revised written annnal rennrt and annual re non rt main to this form_ Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: 'Belj-Welford (7, ~ 1 S `')') t {-~. E ~' t--' <br />Permittee Name: Ouray County <br />Address: P.O. Box 456 <br />Ridgway, CO 81432 <br />Phone Number: (970) 626-5391 <br />Fax Number: (970) 626-4439 <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 <br />enclosed. <br />~l,.t,t l~~l.-_,Ll r <br />gn~'i~ature of Corporate Officer, Owner, or Designee <br />~l~/o~ <br />Dat <br />M:~PERMITMASTERD000MENTS~M-AF-04 <br />