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~. <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Rio Blanco County RECEIVED <br />PERMfp NO.: M-2000-037 MAY 16 2002 <br />OPERATION NAME: Baxter Pass Gravel Pit Division of Minerals and Geology <br />ANNNERSARY DATE: May 10, 2002 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <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 <br />____ operator shall_submitthe annual_fee,-a .report_and_map_showing-.the,extent-of_current-disturbances-to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during [he coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report maa to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jeny Steele <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br />Meeker, CO 81641 <br />Phone Number: (470) 675-8644 <br />Fax Number: (970) 675-5211 <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 <br />enclosed. <br />Signah e of Co orate Officer or Owner <br />ik-~,~ 02- <br />Date <br />M:~PERM I'MIASTER~OCUMENTSVN-AF-04 <br />