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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNiiAi. FF,F, and RF.PnRT RF.tliiF.ST <br />RECEIVED <br />C & J Gravel Products, Inc. <br />M-1980-146 <br />Montoya Pit <br />May 1, 2003 <br />MAY 0 1 21103 <br />Division ~l Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />La Plata <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />----shat(-submit-the-annuat-fee-a-repart~a~rd~nap showing the e- xfi;nt of current disturbances to affected land, <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 re~nrt man M this form- pjease 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: John Gilleland <br />Pennittee Name: C & J Gravel Products, Inc. <br />Address: <br />Phone Number: <br />Fax Number: <br />27661 U.S. Hwy. 160 E. <br />Durango, CO 81301 <br />(970)385-4112 <br />(970) 385-5014 <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 />Signature of Corpora e Officer, Owner, or Designee <br />~1.~U.c~ <br />Date <br />MiPERM ITU4ASTERDOCUMENTSUI-AF-01 <br />