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~~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~nti+.J <br />~ ANNUAL FEE and REPORT REQUEST <br />~ Wyatt Redi-Mix Co <br />~M-1997-039 <br />Williams/I1linois Gravel Pit <br />August 12, 2006 <br />RECEIVED <br />~`~AUG 14 2006 <br />I/ uivision of ReGamatfon, <br />Mining antl Safety <br />$281.00 (Due on or before your anniversary date) <br />Jackson <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 />__ _ re~lam~tion_accomplished.to.date_and during the_preceding_year,.new_disturbances-that-are=an6cipated_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 your revised written annual report and annual reuort mau to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />man (All 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 />sufface for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard F. Wyatt <br />Permittee Name: Wyatt Redi-Mix Co <br />Address: P.O. Box 1052 <br />Walden, CO 80480 <br />Phone Number: (970) 723-4471 <br />Fax Number: (970) 723-3222 <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 our written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate O cer, Owner, or Designee <br />~~~oja 6 <br />D e <br />G7y~TT ~Eb/~/I/J.a h~~9S ST9HT£1J li~~~ `~Tff6£ GZ W8~N6- rSTy-Cr~ ~ /ls <br />~77JCX ~i1.~ 9fIE.4 /~s~"~o a~ ~£C/A/yllTJ.~ 5'/~'~ / ~! 7'ff/S <br /> <br />