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0 <br /> ANNUAL REPORT <br /> PAID <br /> RFQ!�I VEQ <br /> PERMITTEE NAME: Gunnison Gravel <br /> PERMIT NO.: M-1978-305 FEB 2�,, 2aaa - <br /> OPERATION NAME: Dickerson Pit Division°t"°"efais&Geology <br /> ANNIVERSARY DATE: February 22, 2000 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br /> COUNTY: Gunnison <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br /> submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br /> reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br /> to occur during the upcoming year, reclamation that will be performed during the coming year, the <br /> dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written report to this annual report. Please <br /> note that an adequately labeled map that clearly delineates and includes the above elements may <br /> suffice.for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the space <br /> provided: /� <br /> Contact Name: �rLQ Company: 4wym�5oyA re: raye) <br /> Address: eb, 6 i)x Phone No.: ( 9 /0 1 9209•-6y-o z <br /> (AWA 10� FAX No.: ( 9'7(Zl <br /> If there are additional comments and/or information that should be provided to the Division, please <br /> provide it on a separate sheet and attach it to this report form along with your map and/or written <br /> report. <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> M'\PERh1mMASTERDOCUNI EM'S\M-AF-01 <br />