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I <br /> ANNUAL FEE and REPORT REOUEST ? W <br /> ED <br /> PERMITTEE NAME: Delta Sand & Gravel Company MAR 12 2001 <br /> PERMIT NO.: M-1977-020 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Pit No I <br /> ANNIVERSARY DATE: March 23,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Delta <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 /> 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. Please note M&I an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice 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: Michael L. Ripp Richard Johnson <br /> Perm ittee Name: Delta Sand &Gravel Company United Companies of Mesa County, Inc . <br /> Address: P.O. Box 103 PO Box 3609 <br /> Grand Junction, CO 81502 <br /> Delta, CO 81416 <br /> Phone Number: (970) 874-9759 (970) 243-4900 <br /> Fax Number: (970) 874-8326 (970) 243-5945 <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 /> natu a of orate Office r 4vn --- <br /> Date <br /> M:TERK IWASTERDOCU AIENTSW-AF-01 <br />