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i~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST Ep <br /> REpEw <br />West End Gravel Company, Inc. 100- <br />M-2001-002 1 O <br />SEp <br />n <br />Weimer One Gravel DN Mjptn9 a d ga etY <br />September 12, 2007 <br />$$791.00 (Due on or before your anniversary date) <br />Montrose <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 />- -- nta€f9i~+tl*~.nr,T~:'1"-~o'e pcrfornrcd-during the coming_year,_the-dates_foc-the_heginning--- <br />ofactive operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual resort and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the urevious year's mau are necessary. then no new map is required. provided that the Ouerator 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 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: Bob Sutherland <br />Permittee Name: West End Gravel Company, Inc. <br />Address: 29703 Hwy. CO-97 <br />P.O. Box 848 <br />Nucla, CO 81424 <br />Phone Number: <br />Fax Number: <br />(970) 864-2177 <br />(970)864-7980 <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 />Qc7'V ~ G~ <br />Signature of Corporate Officer, Owner, or Designee <br />~~~ ~~ <br />Date ~~ <br />