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l~VI ~tJ <br />L% ANNiiAi, FF.F, and RF.PnRT RF./1iiFST <br />PERMITTEE NAME: d Varna Companies, Inc. R EC E e V E <br />PERMITNO.: !~ M-1978-056 LJUN Q ~ „w1~6 <br />OPERATION NAME: Durham Sand & Gravel Pit <br />vision ~f Minerals and Geology <br />ANNIVERSARY DATE: June 1, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, _ <br />reclamation accomplished"to date and'8uiing the'preceding year; new distifrba`nces 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 ynnr revised written anneal report and anneal re~nrt main 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: Christopher L. Varna <br />Permittee Name: Varna Companies, Inc. <br />Address: 8120 Gage St. <br />Frederick, CO 80516 <br />Phone Number: (303) 666-6657 <br />Fax Number: (303) 666-6743 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~~ ~ ~ ~ . <br />Signa a of Corporate Officer, Owner, or Designee <br />~u i~~ Zoa(D_ <br />Date <br />