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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~;t~h~ <br />~AN~RIAT, FF.F, and RF.PnRT RF.t7iTF.ST <br />RECEIVED <br />~~u1~22~ <br />~Itli§IBfi B€ Minerals and Geology <br />~ S//an Juan County <br />vM-1990-070 <br />Eureka Gravel Pit <br />July 5, 2006 <br />$281.00 (Due on or before your anniversary date) <br />San Juan <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 />operator shall submit tho annual fea, a report and map showing the extent of current disturbances to affected <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 attachynnr revised wr€tten anmial rennrt and anmia) report mad to this form. Please note that an <br />adequately labeled 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: Louis K. Girodo <br />Permittee Name: San Juan County <br />Address; 1512 Greene St., Box 466 <br />Silverton, CO 81433 <br />Phone Number: (970) 387-5772 <br />Fax Number: (_ <br />`x'70 - -.:?B-l - SO>°/ ~ <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 />f/ <1~~ <br />Signature of orporate Officer, Owner, or Designee <br />~',~'a- aoo~ <br />Date <br />