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01/23/2006 16:22 970-626-4439 OURAY COUNTY LANDUSE <br />28-JAN-2006 11:10 FRON-Colorado Division of Mlnarala f GaoloaY +13036826108 T-666 <br /> <br />PAGE 02 <br />P.003/004 F-066 <br />RECEIVEC <br />~% JAN 2 31006 <br />PF,RIvIIZTti6 NA1V~: <br />P&RMIf NO.: <br />OPIs'R,ATION NAMTi: <br />ANDIIVfiRSARX DATE: <br />ANNUAL FE$ pTJB: <br />COUNTY: <br />4Nl~j]Ar AkF a_n RF_ _ -Vd C1R'~' ltlk[]T1TiST <br />ooray Cooaty <br />;/ 1~-1991.097 <br />Triple R Gravel Pit <br />Novtonber 26,2005 <br />,/Division of iNinerals and Geology <br />S68S.00 (Doe on oe before your aooivenary date) <br />According to C.atS. 3~9-32.5-116 or C.R.S. 34-32-116, each year, vn the annive~[sary date of the PeCm~t, as <br />operator shall submit the amual fcc, a report and map showing the extent of ctureet distutbeeoes to affected <br />land, reclamation acca~tliahed to date and doting the preceding year, new distTUbances that are anticipated ~ <br />occur during the upcoming yea. reclamation that aiIl be p¢rfortrted dm'm6 rite coming year, the dates for the <br />beginning of active operations, and the date active opctations ceased for the year, if my. <br />pleaca ariaeh ym~r tgyiaed w n annual ~n~ nn o...mal rana~f map M M:a farm. PtC24a ltOr6 that alt <br />adegrtmely labeled Wrap that clearly delineates sad Gtcludes the above elenteatt may sT~ce for a written <br />~~ <br />Divisioo records indits<te the following pamittec contact itz!'vrmation. Please verify and maim surly necessary <br />ckamgra: <br />Pmmitax Conffict i3eb- <br />RermitteeName: Outay County <br />Address: P.O. Box 456 <br /> <br />Riae~.Yay, co s143z <br />Phone Nimtber_ (970) 626-5391 <br />Fax Number (970) 6264439 <br />if you have additiamal ootrtmatts ®dlor iwformation that should b@ provided to the Divisiaa, pleeae provide it <br />blow or attach it W this farm alone with yoTa written report and map. Azmtul Report ittsOlucaons ere <br />eaclosxd. ~ <br />~~ ~~~~ <br />sigeatare of Corporate Ot'ncer, owner, or Dcsigaee <br />~.~ ,~ <br />