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<br />RECEIVED <br />ANNUAL FEE and REPORT REQUEST <br />JUL 2 4 2002 <br />Division of Minerals and Geology <br />PERMIT"I'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Crites Sand and Gravel <br />M-1999-022 <br />Crites Sand and Gravel <br />July 19, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Saguache <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 cur~en~disturHances-to affectEd-land,-- <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o 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 vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Dave Crites <br />Permittee Name: Crites Sand and Gravel <br />Address: 11044 W. Hwy. 112 <br />Del Norte, CO 81132 <br />Phone Number: (719) 657-2338 <br />Fax Number: (719) 657-2404 <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 instmctions are enclosed. <br />/ L~ <br />Signature of orpora e O ficer or Owner <br />~~ ~ ~ -~~ <br />Date <br />M:~PEAMrM1ASTERD000MENTSUI-AF-01 <br />