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1 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />II~ f~l'~I!II"I"~I <br />,ANNUAL FEE and REPORT REQUEST <br />Thomas F & Ginger L Latham <br />M-1981.058 <br />DeBeque Gravel Pit <br />September 7, 2001 <br />RECEIVED <br />MOV 131001 <br />I)ieisian of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />~J <br />According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-] 16, 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 report and annual report map to this form. Please note that an <br />udequately Inbeled map thnt 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: Thomas A. Lague <br />Permittee Name: Thomas F & Ginger L Latham <br />Address: 1225 S. 7th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-53;'0 <br />Fax Number: (970) 245-77116 <br />If you have additional comments and/or information that should be provided [o [he Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Date <br />M:WERMITM.4STERD000MENTSV+7 AF-01 <br />