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-_:. <br />~~ <br />v <br />RECEIVE® <br />----~roes3f{aid; GQ~0038-2-049-- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <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. o <br />Please attach ynnr revised written annual tenor[ and annual rennrr m ~n 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: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: ---P-.~$o3t~-04~-- <br />Varra Companies, Inc. <br />M-1974-052 <br />Pit No. I <br />June 1, 2003 <br />JUN 3 0 2003 <br />Division ~I Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />8120 Gaee St. <br />Frederick, CO 80516 <br />P-hone-Plumber-.-(303)-666-66-57 <br />Fax Number: (303) 666-6743 <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 />"L ~ ~~ ~ ~ <br />Sign re of Corporate Officer, Owner, or Designee <br />1 June 2003 <br />Date <br />M:\PERM17 V.IASTERD000M ENTSUI-AF-OI <br />