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<br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~j~~ I <br />ANNUAL SEE and REPORT REQUEST <br />~ Grand County <br />~ M-1984-156 <br />Grand Cnty No 201 aka Scholl Gravel Pit <br />May 29, 2007 <br />$$688.00 (Due on or before your anniversary date) <br />Grand <br />~-, <br />1,~ ^ Ag 9 <br />~~ <br />~ , . ~~ ~ ~ 7~~~ <br />~Di~~~'sion o. 't c~m~iion, <br />~/f~;ining and Sat`aiy <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 dishvbances 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 vour revised written annual report and annual report mau to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, resort, and <br />associated moo. If no new disturbances or reclamation have occurred durinc the previous year and no <br />new chances to the previous year's map are necessary. then no new man is required, urovided that the <br />Ouerator shall state this in the Annual Reuort. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice far a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Ken Haynes <br />Permittee Name: Grand County <br />Address: 467 E. Topaz Ave. <br />P.O. Box 9 <br />Granby, CO 80446 <br />Phone Number: (970) 887-2123 <br />Fax Number: (970) 887-3168 <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 />~~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />~/~/o~ <br />Date <br />M:~PERM77~MASTERDOCUMENTSNI-AF-04 <br />