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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />O,yNUAF. FF.F. and RF PnRT RF:OI1F.ST <br />Barnard Quarries <br />M-1996-079 <br />Barnard Quarry <br />January 29,2004 <br />RECEIVED <br />JAN 2 3 2004 <br />Division of Minaab &6eolOpy <br />5281.00 (Due on or before your anniversary date) <br />Boulder <br />According to C.R.S. 34-32.5-1 ] 6 or C.R.S. 34-32-] ] 6, each year, on the anniversary date of the permit, an operator <br />shall submit the annual tee, 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 />Plrasr attach ynnr rrvisrd writtrn anm~al rrpprt and anm~al reel rr f m.~n this form. Please note that un <br />adequately labeled map that clearly delineates and includes the above elements may suffice for u written report_ <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permitiee Contact: Chester Barnard <br />Pemtittee Name: Barnard Quarries <br />Address: 24~ Evans St. <br />P. O. Box 86 <br />Lyons, CO $0540 <br />Fax Number: <br />lam. <br />~K <br />~` <br />If you have additional comments and/or information that should be provided [o the Division, please provide it <br />below or attach it [o [his form along with your written report and map. Annual Report instructions are enclosed. <br />1 '~/IIZL11~'~ ~26"'f~ <br />Si/gnature of Corporate Officer, Owner, or Designee <br />Date <br />M:`PERMrr MASTER nOCUMENTS' M-AF-01 <br />