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~' <br />.. - ~ ~' / i <br />~C'S~ <br /> ANNiiAi, FF.F, and RF.Pi1RT RF.OiTF,ST <br />~ <br />PERMITTEE NAME: outt County <br />R <br /> // <br />PERMIT NO.: /JM-1978-315 <br />OPERATION NAME: Red Rock Pit <br />ANNP/ERSARY DATE: November 22, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Routt <br />~-lJS~ <br />~~ ; ~ .~16 <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 <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, 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 atta~ynnr revised written annual report and annual rennrt m ~n to this form. Please note that an <br />adequately dabe[ed map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Heather R. McLaughlin <br />Permittee Name: <br />Address: <br />Routt County <br />P.O. Box 773598 <br />Steamboat Springs, CO 80477 <br />Phone Number: (970) 870-5337 <br />Fax Number: (970) 879-3992 <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 <br />enclosed. <br />Signature ofColporate Officer, Owner, or <br />l/,3 /OS~ <br />Date <br />M:(PERMI'11MASTERD000MENTS~hf-AF-04 <br />