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~~ <br />ANNiIAI, FF.F, and RF.P(lRT RF,t7i1F.ST RECEIVED <br />PERMITTEE NAME: / Sunnyside Gravel ~Y' (C <br />PERMIT NO.: ~ M-1986-033 /Division of Minerata end O~oloDy <br />OPERATION NAME: Hess Pit <br />ANNNERSARY DATE: March 11, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 />CeClamatjpn arrn_~ mpli~hert tg_<1atC_and_d'~'^.-.^n^s-~~l+,o°-^pr°m.^.~°.ding-ye3~n6w-d1St~3fbar2CC9-t1taY-aFC'altti~Ipated-tO-OCC'iiT <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 ynnr revie d written annnal re,Pnrt and annnal rennrt mad to this form- Please note that an <br />adequately labeled map that 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: Alton Hess <br />Permittee Name: Sunnyside Gravel <br />Address: 9983 Hwy. 550 <br />Durango, CO 81301 <br />Phone Number: (970) 247-1596 <br />Fax Number: ~ (970) 247-1"650 - <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 enclosed. <br />ignature Corporate Officer, Owner, or Designee <br />Date <br />