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9~'~' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />`~ ANNUAL FEE and REPORT REQUEST <br />/Sky Ute Sand & Gravel, LLC <br />t/ M-2003-037 <br />Haldorson Sand and Gravel Mine <br />December 16, 2006 <br />~~^~..° <br />~~~'~ ~c zoos <br />$$688.00 (Due on or before your anniversary date) <br />Montrose <br />~~L <br />12/~8~0,1 <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />-shall cnhmit _the_,annual~fea~a_.repotLand_map_ show'~the_extent of .cusent disturbances _ta. affected land, _ _ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming yeaz, 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 vour revised written annual resort and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />maa. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Reuort. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Kevin Hunt <br />Permittee Name: Sky Ute Sand & Gravel, LLC <br />Address: P.O. Box 3268 <br />Montrose, CO 81402 <br />Phone Number: (970) 249-6533 <br />Fax Number: <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 aze enclosed. <br />t <br />S a re of Corporate Of icer, Owner, or Designee <br />Date <br />