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A~ _~ RPM <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Warren & Sally Wilcox dba Gunnison Gravel & Earthmo~~ <br />PERMIT NO.: ~M-1978-305 "~' ~~~~~ <br />OPERATION NAME: Dickerson Pit ~B Q ] 2007 <br />ANNNERSARY DATE: February 22, 2007 Riviaion of ~~~tl <br />/Mining and 3oC& ~~ <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) ~ <br />COUNTY: Gunnison <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 annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report. and associated <br />man. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary. then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Warren Wilcox <br />Permittee Name: Warren & Sally Wilcox dba Gunnison Gravel & Earthmoving <br />Address: P.O. Box 42 <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-3088 <br />Fax Number: (970) 641-5811 <br />you have additional comments and/or information that should be provided to the Division, please provide it <br />how or attgrh it~o tl~s form along with your written report and map. Annual Report instructions are enclosed. <br />Owner, or Designee <br />~-~-~~7 <br />Date <br /> <br />~~a <br />