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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNiiAf. FF,F, and REPORT RF.niiF.ST <br />Central Aggregates, Inc. <br />M-1981-006 <br />West Rifle Pit <br />April 27, 2003 <br />RECEIVED <br />APR 3 0 2003 <br />Division rrf Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />GarSeld <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 />ort-andznap-5hawing-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 anmral rennrt and anneal re~nrt main to this Snrm_ Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gilbert T. Lee <br />Permittee Name: Central Aggregates, Inc. <br />Address: P.O. Box 1877 <br />Rifle, CO 81650 <br />_ Phone Number: _ (970} 625-3598 <br />Fax Number: (970) 625-4221 <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 foray long with your written report and map. Annual Report instructions are enclosed. <br />/ C/ <br />Signature`of Corporate ficer, Owner, or Designee <br />~~~~ <br />Date <br />M:~PERMnU1ASTERD000M ENTSUA-AF-01 <br />