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<br /> <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPdERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Sannyside Gravel ~~~~tC~i'tJi~~ <br />M-1986-033 <br />Hess Pit APR ~ 8 20Qy <br />March 11, 2004 D'b'$'~n nt M~Oefals and Geolog„ <br />$281.00 (Due on or before your anniversary date) <br />La Plata <br />s <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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'-1"and, <br />recramanon accuuipnsnea-w acre una-aunng cne-preceding year, new a~ r ances tare anticipated tq occur <br />during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased fdr the year, if any: <br />Please attach ynnr revised written anneal rennrt and anneal re nn rt m~ to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Alton Hess <br />Permittee Name: Sunnyside Gravel <br />Address: 9983 Hwy. 550 <br />Durango, CO 81301 <br />Phone Number: (970) 247-1596 <br />Fax Number: (970) 247-ib50 <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 enclosed. <br />afar Corporate Officer, Owner, or Designee <br />t3- ~/-D~ <br />Date <br />