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~S <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNTIAT. FF.F, and RF.PnRT RF.niTFST <br />~/ Cross Mountain Ranch Ltd. Partnership <br />M-1979-102 <br />i~ Division of Minerals and Geology <br />Kagie Gravel Pit <br />June 21, 2006 <br />$281.00 (Due on or before your anniversary date) <br />Routt <br />F~ECEI~/ED <br />~ JUN 11 2006 <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-precedingyear, new disturbances-that are-anficipated 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 ymu• revised written anm~al report and annual report mAn M 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 />Permittee Contact: Phil George <br />Permittee Name: Cross Mountain Ranch Ltd. Partnership <br />Address: P.O. Box 897 <br />Craig, CO 81626-0897 <br />Phone Number: (970) 824-2803 ' I <br />Fax Number: _ ~ __ ., ~ - -- - - 97~ -5~Z`~- - rIO~ <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 />Cis /~f~.~...~-.-;. ~~., ~,P: <br />Signa~of orpori~Offce; r, Owner, or D ignee <br />~(,h i ~l /_~cs,~~D t <br />Date 5 ' <br />