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~~~ <br />PERMITTEE NAME: <br />PERMIT NO,: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />RECEIVED <br />OEC 1 52005 <br />Division of Minerals and Geology <br />Michael G. Erker and Cynthia L. Erker <br />M-1985-200 <br />Kula Gravel Pit <br />December 18, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Morgan <br />`According to C:R.S. 34-32.5,116 or C.R.S. 34-32-116, each year, on the anniversary date of 'tile permit, an <br />Sj~i` ra ri~ah'all 'a ~bmit-the~rin»a] fees-a re port 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 the coming yeaz, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />please attach ~nnr revised written anneal reTnrt and anmral rennrt m ~n to this iorm_ Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Cynthia L. Erker <br />Pennittee Name: Michael G. Erker and Cynthia L. Erker <br />Address: 2550 Winding River Dr., #M3 <br />Broomfield, CO 80020 <br />Phone Number: {303) 438-5777 <br />Fax Number: <br />~ ~~~ <br />Q V~'. <br />Qc„ <br />~ 'vr..e~n, ce%r., <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 /> <br />Date <br />ar Designee <br />M:~I'ERMITMASTERDOCUMENlS4M-AR04 <br />i <br />