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<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />General Operating Company <br />M-1979-034 <br />Gardner Gravel Pit <br />May 26, 2004 <br />APR 19 2004 <br />Uivi~ia^ ~i Mirero~s t4 Geeley-' <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />N <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 current disturbances to affected land, <br />-- __. reclamation_aacomplished to date and Burin tg he preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming yeai, "fhe ea`tes for3}te b~giiming- - - <br />ofactive operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual report and annnal re~nrt main to this form- Please note that an <br />adequately labeled map that c/early delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Doug Redmond D411/ /Z~l7mDlU~ <br />Permittee Name: General Operating Company <br />Address: P.O. Box 223 <br />Yampa, CO 80483 <br />Phone Number: <br />Fax Number: <br />(970)736-1137 <br />If you have additional comments and/or informafion 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 />-. ~&2E KiE2B tVo C.~t~tn6t:'S 7'D >~sfr.~~r-d <br />~>zE~ or- 2uniy~.t m~tOS /~emarni ENE 5.4mL' <br />~~ ~.~ <br />gnature of orp rate Officer, Owner, or Designee <br />Date <br />