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ANNUAL FEE and REPORTS OUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />dOurayCounty •~.,-~.,,~ ~~~~~~ <br />(J 1VI-1978-268 <br /> ~i"'~ ~ ~ ~~~~ <br />Dallas Gravel Pit <br /> <br />March 22, 2007 „ ~ .' ;n <br />,.,; ,,. „ , ~ <br />. , <br />$$688.00 (Due on or before you r anniversary date) <br />Ouray <br />According to C.R.S. 34-32.§-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 />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <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 your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous veer and no <br />new chances to the previous year's map are necessary, then no new map is required, provided 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 fallowing permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Chris Miller <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 />~s ~~` <br />Signature of Corporate Officer, Owner, or Designee <br />~~~5/0~ <br />Date ~- <br />M:~PERMITN1ASfERD000MENT5NI-AF-04 <br />