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999 � ZSl °' <br /> ANNUAL FEE and REPORT REQUEST <br /> RECEIVED <br /> PERMITTEE NAME: Gunnison Gravel FEB 0 8 2001 <br /> PERMIT NO.: M-1978-305 <br /> OPERATION NAME: Dickerson Pit Division of Minerals and Gealogy <br /> ANNIVERSARY DATE: February 22, 2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Gunnison <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 pennit, 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 tthat 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 that an <br /> adequately labeled map that clearly delineates and includes the above elements may sufce for a written <br /> report. ' <br /> Division records indicate the following permittee contact information. Please verify and snake any necessary <br /> changes: <br /> Pennittee Contact: Warren O. Wilcox <br /> Permittee Name: Gunnison Gravel <br /> Address: P.O. Box 42 <br /> Gunnison, CO 81230 <br /> Phone Number: (970)209-0442 <br /> Fax Number: (970)641-5811 <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"114 0, kv <br /> nature of orporate Nficcr or Owner <br /> _/ - ll _�_1eof <br /> Date <br /> \ M.PERMITVNASTERDOCUMENTSU7-AF-0I <br />