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~m ~, <br />... <br />JAN 1 9 2006 <br />ANNiTAi. FFF and RFP(1RT RFt7iTF.ST <br />fi6ivision of Minerals and Geology <br />PERMITTEE NAME: Brannan Sand & Gravel Companyr/ <br />PERMIT NO.: M-1980-183 i~ <br />OPERATION NAME: Pit 29 <br />ANNIVERSARY DATE: January 8, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Adams <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 your revised written annnat red nrt and anm.al re nn rt m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a umitten report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Fred J. Marvel <br />Permittee Name: Brannan Sand & Gravel Company <br />Address: 2500 E. Brannan Way <br />Denver, CO 80229 <br />Phone Number: <br />Fax Number: <br />(303)534-1231 <br />(303)534-1236 <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 />~~n ~-O <br />ignature of CorpQ ate Officer, Owner, or esignee <br />y - o (~ <br />Date <br />