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~._.: <br />n~s72 <br />cbvv~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />f~ANNiTAi. FF.F. and RF.Pt7RT RF.niTFST <br />v/West End Gravel Company <br />/ M-1994-011 <br />West End Gravel Pit #1 <br />Apri15, 2006 <br />RECL~~~® <br />~~ APR 0 .; 2006 <br />~ Drvmion of Minerals antl Geology <br />$688.00 (Due on or before your anniversary date) <br />Montrose <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. <br />Please attach your revised written anneal report and anneal rennrt man to this form. Please note [hat an <br />adequately labeled map that clearly delineates and includes the above elements may su/fice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bob Sutherland <br />Permittee Name: West End Gravel Company <br />Address: P.O. Box 848 <br />Phone Number: <br />Nucla, CO 81424 <br />(970) 864-2177 <br />Fax Number: (970) 864-7980 <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 of Corporate Officer, Owner, or Designee <br />,.,~Ir~~°~s~ a~ ~~ <br />Date`' <br />