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~ ~ I <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />According to C.R.S. 34-32.5-11 <br />SSS >r' <br />ANNTIAT, FF.F. and RF.Pt1RT RF.nTTF,ST ~ f " „-_;~ <br />~~~, _ <br />~G"rand Junction Pipe & Supply Co." '~AUG 0 3 2005 <br />v m-T998-TOS ~ division et fYia,ra~s & Gwlopy <br />Delta Paving Gravel Pit <br />August 6, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Delta <br />6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <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 da~e active operations ceased for the year, if any. <br />Please attach ynnr revised written anm.al rennrt and anneal rennrt 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: Edward J. Settle <br />Permittee Name: Grand Junlction Pipe & Supply Co. <br />Address: P.O. Box 1849 <br />Grand <br />Phone Number: (970) <br />Fax Number: (970) <br />If you have additional coma <br />below or attach it to this form <br />%3%~ '~ <br />CO 81502 <br />and/or information that should be provided to the Division, please provide it <br />with your written report and map. Annual Report instructions are enclosed. <br />Signature of Cqr~orate Officer,) Owner, or Designee <br />-1- 05 <br />Date <br />