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~ ~%~ <br />~ r+~'~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />//Thomas F & Ginger L Latham <br />/ M-1981-058 <br />DeBeque Gravel Pit <br />September 7, 2006 <br />RAC 4o f°" ~ ~~~® <br />/'~ SEP 18 2006 <br />!~ Division of Reclamation, <br />Mining and Safety <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />According to C.R.S. 34-32.5-I 16 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 report and annual renort map to this form. The Annual Repots <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />ma (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Harold F. Elam <br />Permittee Name: Thomas F & Ginger L Latham <br />Address: 1225 S. 7th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-5370 <br />Fax Number: (970) 245-7716 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Sign ur f Corporate Offip r, caner, or Designee <br />_r ~` eo ~' 7 3 .Z vo 6 <br />Date T-~~ <br />