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<br /> <br />' d~ <br />PERMIT'I'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Grand Gravel <br />M-1998-019 <br />Grand Gravel Pit <br />August 11, 2002 <br />RECEIVED <br />JUL 17 2002 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Grand <br />- _ __ - _According to_ C.R_S _34_32.5^l 1_6 or C.R.S. 34-32-116, each year, on the anniversary date of the pemut, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected ]and,- --~ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o 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 mau to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Penrilttee Contact: Richard E. Cutry <br />Permittee Name: Grand Gravel <br />Address: P.O. Box 566 <br />Hotchkiss, CO 81419 <br />Phone Number: (970) 872-3545 <br />Fax Number: (970) 872-3792 <br />If you have additional comments and/or information [ha[ should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed. <br />i~t LGY/LC-G4Md (..w7/+~f (.c, GI[:/h Fv <br />Signature of orporate Offi r or Owner <br />3~ i~ -az <br />Date ~ <br />M:~PERMnV\1ASTERD000MENTSVN-AF-01 <br />