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~~ <br />ANNiJAT. FF,F, and REPORT RF,OiTFST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Western Gravel, Inc. <br />M-1984-108 <br />Olathe Pit <br />December 14, 2004 <br />,~ <br /> <br />$281.00 (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 annual refit and annual re~nrt ma,~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Judy DeVincentis <br />Permittee Name: Western Gravel, Inc. <br />Address: 3001 N. Townsend Ave. <br />Montrose, CO 81401 <br />Phone Number: <br />Fax Number: <br />(970)249-2431 <br />(970)249-0590 <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 />Date <br />