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r~',J <br />~~~~~~ <br />ANNUAL FEE and REPORT REQUEST <br />~~~~D1,~,1~.~ <br />PERMTTTEE NAME: ~ Bumgardner Ranches, Inc. <br />-f€B 0 12007 <br />PERMIT NO.: /M-1980-027 Division of Reclamation, <br />OPERATION NAME: Bumgardner Ranches Gravel Pit ~--Mining and Safety <br />ANNIVERSARY DATE: February 2, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Grand <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 aze 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 annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous Year and no new chances to <br />the previous Year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gary Bumgamer <br />Pemuttee Name: Bumgardner Ranches, Inc. <br />Address: P. O. Box 186 <br />Kremmling, CO 80459 <br />Phone Number: (970) 724-9325 <br />Fax Number: (970) 724-9632 <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 />Si tore of orate Officer, Owner, or Designee <br />~~. ~/ 2~ <br />~' <br />