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ANNIJAL~E a'nd REPORT REQUEST <br />PERMITTEE NAME: ~ R & R Regester Enterprises, Inc. <br />PERMIT NO.: ~M-2000-088 <br />OPERATION NAME: Antero Gravel <br />ANNIVERSARY DATE: May 31, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Park <br />"~~ ~~ <br />4i.. <br />~t~inin9arytisa e~ <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 vour revised written annual report and annual resort map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the previous year's man are necessary, then no new map is required. arovided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Robert C. Re er <br />Permittee Name: R & R Regester Enterprises, Inc. <br />Address: 844 Beaver Pond Dr. <br /> Divide., CO 80814 <br />Phone Number: (719) 686-8744 <br />Fax Number: (719) 686-1184 <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 fonn along with your written report and map. Annual Report instructions are enclosed. <br />s <br />.J <br />nature of Corpo u;er, Owner, or Designee <br />~-LJ ~ 0' <br />Date <br />