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~brn <br />RECEl1/E~ <br />JAN 1 1L006 <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Morrow & Sons, Inc. <br />M-1979-187 <br />Morrow/Murphy Gravel Pit <br />January 23, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Grand <br />Divisimi w iourrcrais and Geology <br />_ _ According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year on the anniversar dy ate of the permit, an operator _ <br />shall submit the annual fee, a report and map showing the extent of cunent 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 ynnr revised written annual re~nrf and annnal report main to this form. Please note that an <br />adequately labeled map [hat 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: Steven D. Morrow <br />Permittee Name: Morrow & Sons, Inc. <br />Address: P.O. Box 37 <br />Phone Number: <br />Fax Number: <br />Fraser, CO 80442 <br />(970)726-5624 <br />(970) 726-9755 <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 />~gnature Corporate Officer, O er, or Designee <br />/-/® <br />Date <br />