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~' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Varra Companies, Inc. <br />M-1980-002 <br />Tucker Aggregate Pit <br />June 1, 2001 <br />RECC-VED <br />JUN 0 51001 <br />Division of Minerals and Geology <br />$550.00 (Due on or before your anniversary date) <br />Weld <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding ycar, 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 [he year, if any. <br />Please attach your revised written annual resort and annual resort map to this form. Please note that an <br />adequately labeled n:ap that clearly delineates and includes the above elements nray suffice jor a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: 12910 WCR 13 <br />Longmont, CO 80504 <br />Phone Number: (303) 666-6657 <br />Fax Number: (303) 666-6657 <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 />~ ~ ~ ~~ <br />Signature o orporate Officer or Owner <br />-~~/ <br />Date <br />M:~PERMITMASTERD000MENTSUA-AF-01 <br />