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~- <br />PERMI'I"fEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />La Plata County <br />M-1981-114 <br />Crader Gravel Pit <br />June 27, 2002 <br />RECE,~/ED <br />JUN) 4 2dD2 <br />Division o/ Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />La Plata <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he anniversary date of [he permit, an <br />operator_shall_submit_the_annual~'ee,_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 [o <br />occur during the upcoming yeaz, reclamation that will be performed during the 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 resort 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 <br />report. <br />Division records indicate the following pemuttee contact information. Please verify and make any necessary <br />changes: <br />Permit[ee Contact: Walter A. Serfoss <br />Permittee Name: La Plata County <br />Address: 1060 Main Ave. Ste. 104 <br />Durango, CO 81301 <br />Phone Number. (~7&j-375=3Hb'f- ~-97~~ .i~Z--6.37.3 <br />Fax Number: {970) 375-7986 <br />L` you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporat ffice r caner <br />l0~ ~ <br />Dale <br />M: W ERMITU1ASTERDOCOMEMSiM-AP-04 <br />