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9"~' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNilAi. FF.F, and RF.PnRT RF,OiTFST <br />/ Grand Junction Concrete Pipe Co. <br />~/ M-1980-080 <br />Una Pit <br />July 24, 2006 <br />R~I~G~ L/ ~6.~' <br />~'JUL 2 02006 <br />vU~visian of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Garfield <br />_ Accordi~ to C.R.S. 34_-32.5=116 or C.R.S. 34-32-116,_each_year, on the anniversary.date_oftha permit,-anoperator <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 ynnr revised written annual rennrt and anmral rennrt main to this form- The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: ss, r nor ,and associated <br />ma{t (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />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: Edward J. Settle <br />Permittee Name: Grand Junction Concrete Pipe Co. <br />Address: P.O. Box 1849 <br />Grand Junction, CO_81502` "- <br />Phone Number: (970) 243-4604 <br />Fax Number: (970) 243-6703 <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 />~~~~--- <br />Signature o orporate Officer, Owner, or Designee <br />7-i8 -f~G <br />Date <br />