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f(f~ ~-~ <br />(~l~ <br />v.ANNiiAf. FRF. 9nd REPORT RF.OiIF.ST <br />CEE NAME: ~/Grand County <br />NO.: j/ M-1984-156 <br />~16lsEA~~6~' <br />'~ APR 2 4 20~ <br />vdwision of Minerals and Geology <br />NAME: Grand Cnty No 201 aka Scholl Gravel Pit <br />RY DATE: May 29, 2006 <br />FEE DUE: $688.00 (Due on or before your anniversary date) <br />Grand <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 />operatarshall-submit-the-arirtual=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 />~occuilduring the upcoming year, reclamation that will be performed during the coming year, the dates for the - <br />begmmng ofactive operations, and the date active operations ceased for the year, if any. <br />rh vmrr revised written snnnal report and annnsl rennrt may to this form. Please note that an <br />labeled map tha[ clearly delineates and includes the above elements rosy suffice for a written <br />records indicate the following permittee contact information. Please verify and make any necessary <br />Contact: Ken Haynes <br />Name: Grand County <br />467 E. Topaz Ave. <br />P.O. Box 9 <br />Granby, CO 80446 <br />Fax <br />If <br />Number: (970) 887-2123 <br />(970)887-3168 <br />have additional comments and/or information that should be provided to the Division, please provide it <br />or attach it to this form along with your written report and map. Annual Report instructions are <br />Owner, or <br />/°~ /b <br />Date <br />