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.~ <br />:, -. .. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />Varra Companies, Inc. <br />M-1980-002 <br />Tucker Aggregate Pit <br />June 1, 2003 <br />RECEIVED <br />~~'::' ~ ~ zooa <br />Qt~lslon ~/Minerals and Ceoloyy <br />$688.00 (Due on or before your anniversary date) <br />Weld <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 />ieclarriation 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 anm~al rennrt and anneal report maw to this form- please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: <br />Phone Number: <br />--Fez Nu'mbei: <br />8120 Gage St. <br />-Erie, f•Y 865 tft 9439- <br />(303)666-6657 <br />={30}}666 665q=- <br />Frederick, CO 80516 <br />- --_ -(303')-666=5743 <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 />Signa of Corporate Officer, Owner, or Designee <br />Date <br />MaPERMITMASTERDOCOMENTSVM-AF-01 <br />