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<br />PERMI"I"I'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Grand Junction Pipe & Supply Co. <br />M-1978-357 <br />Bradbury Pit <br />January 25, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Mesa <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 />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 anneal report mr~ 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: Edward J. Settle <br />Permittee Name: Grand Junction Pipe & Supply Co. <br />Address: P.O. Box 1849 <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4604 <br />Fax Number: _ -' (970} 243-6703 - - `- - ` - -- <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 />Sig r(Y rporate Officer, Owner, or Designee ~~C~~~~'~ <br />I_z~_ 2~i3 JA(V 2 2 2003 <br />Date Division of Minerals and Geology <br />M:NERMrM1ASTERD000MENTSVN-AF-01 <br />