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III III�I999 <br /> . ANNUAL FEE and REPORT REQUEST <br /> RECEIVED <br /> PERMITTEE NAME: Rudy Fontanari <br /> PERMIT NO.: M-1986-002 FM 2 8 2001 <br /> OPERATION NAME: Whitewater Quarry Ilivislon of Minerals and Geology <br /> ANNIVERSARY DATE: February 26,2001 <br /> ANNUAL FEE DUE: $281.00(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 date of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, 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 map that clearly delineates and includes the above elements rnav suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Rudy Fontanari <br /> Permittee Name: Rudy Fontanari <br /> Address: 3316 E. 3/4 Rd.- Rt. I <br /> Clifton, CO 81520 <br /> Phone Number: (970)434-7948 <br /> Fax Number: <br /> If you have additional comments and/or infomation 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 <br /> enclosed. <br /> Sgna e o Corporate Officer or Owner <br /> 2 -- /5? - O/ <br /> Date <br /> M APERM ITMA STERDOCUMENTS W-AF-01 <br />