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• <br /> III IIIIIII s IIIIIIIII— <br /> ANNUAL FEE and REPORT REOUEST R EC EWER <br /> SEP 10 2001 <br /> PERMITTEE NAME: Delta Sand & Gravel Company <br /> PERMIT NO.: M-1994.097 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Spring Creek Pit <br /> ANNIVERSARY DATE: September 12,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Montrose <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 accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br /> during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br /> 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 suffice for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Michael L. Ripp Paul E. McGehee <br /> Permittee Name: Delta Sand & Gravel Company <br /> Address: 931 E. Hwy. 92 P.O. Box 3609 <br /> P.O. Box103 Grand Junction, CO 81502 <br /> Delta, CO 81416 <br /> Phone Number: (970) 874-5127 (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 enclosed. <br /> . .- /)- b ---I - <br /> Signature of orporate Officer or Owner <br /> September 7. 2001 <br /> Date <br /> M APERMITMASTERDOCUMENTSW AF-01 <br />