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Y. <br />RECEIl6ED <br />PERMFI'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />R & R Regester Enterprises, Inc. <br />M-2000-088 <br />Antero Gravel <br />May 31, 2004 <br />APR 1 6 2004 <br /> <br />Division of Minerai~ & Gz~alagy <br />$688.00 (Due on or before your anniversary date) <br />Park <br /> <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 accomylished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will b'e performed during the coming yearthe-dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach j~m~r revised written annnal report and annnal re nn rt my~p to this form- Please note that an <br />adequately labeled map that cleardy delineates and includes the above edements 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: Robert C. Regester <br />Permittee Name: R & R Regester Enterprises, Inc. <br />Address: 844 Beaver Pond Dr. <br />Divide, CO 80814 <br />Phone Number: <br />Fax Number: <br />(719) 686-8744 <br />(719)686-1184 <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~ur written report and map. Annual Report instructions are enclosed. <br />u` rc~o <br />Signat re of Corporate rc ,Owner, or Designee <br /><~~sJ ~l <br />Date <br />