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sss <br />t/ANNiiAi. FF,F. and RF,P(lRT RF.QiiF.ST RECEIVED <br />~~L 12 2006 <br />PERMITTEE NAME: Rio Blanco County <br />/ Divistsa of Minarets and (iA'd~ <br />PERMIT NO.: v M-1980-112 <br />OPERATION NAME: Richard Bachman Pit <br />ANNNERSARY DATE: July 10, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <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 subtnit-the annual fee, a report and map-sbowing 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 />Pfease attach ymrr revised written anneal rennrt and anneal re~nrt main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: David P. Morlan <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br />Meeker, CO 81641 <br />Phone Number: (970) 878-9590 <br />Fax Number: (970) 878-3396 <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 <br />enclosed. <br />~~~~~~~ <br />Sign re of Corporate O fiy r, Owner, or Designee <br />~~aa~ G <br />Date <br />M:~PERMlIN7ASTERDOCUMENTSM-AF-04 <br />