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<br /> <br />RECEi~~, _ , <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />White River Aggregates, Inc. <br />M-1991-009 <br />White River S & G Pit <br />April 17, 2004 <br />$281.00 (Due on or before your anniversary date) <br />Rio Blanco <br />APR 12 2004 <br />Division o} Minerals & GeoloBY <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 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 ymrr revised written anmral rgpnrf and annual rennrt main to this form- Please 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: Jack E. Paulson <br />Permittee Name: White River Aggregates, Inc. <br />Address: 1107 E. Victory Wy. <br />Craig, CO 81625 <br />Phone Number: (970) 824-3187 <br />Fax Number: (970) 824-4067 <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 />' atur f Corporate Officer, Owner, or Designee <br />S~/~/oy <br />Date <br />