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t199 <br /> ANNUAL FEE and REPORT REQUEST ECEIVED <br /> PERMITTEE NAME: J and M Schmahl MAR 1 12001 <br /> PERMIT NO.: M-1984-001 Div anflliuerafs and Gealoly <br /> OPERATION NAME: Surface Rock Pit <br /> ANNIVERSARY DATE: April4,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Mesa <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary da a of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current dirt rbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances t t are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming y r, the dates for the <br /> beginning 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 man to this form. Please note that an <br /> adequately labeled reap that clearly delineates and includes the above elements may s ice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and ake any necessary <br /> changes: <br /> Permittee Contact: John Schmahl <br /> Permittee Name: J and M Schmahl <br /> Address: 2301 River Rd. <br /> Grand Junction, CO 81505 <br /> Phone Number: (970) 242-8046 <br /> Fax Number: (970) 242-5018 <br /> If you have additional comments and/or information that should be provided to the Divisiol , please provide it <br /> below or attach it to this form along with your written report and map. Annual Rep rt instructions are <br /> enclosed. <br /> 4 u.� —o1c/titles( <br /> Signature o Corporate Officer or Owner <br /> Date <br /> WPERMITNIASTERDOC WE NTSN-AF-0I <br />