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rn~.I/ <br />!~ ANNiiAi. FF.F, and RF.P(1RT RF.OiTF.ST <br />PERMITTEE NAME: ~ Varra Companies, Inc. <br />PERMIT NO.: ~M-1980-002 <br />OPERATION NAME: Tucker Aggregate Pit <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 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 xgnr revised written anneal report and anneal repor' f mare 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 ittdicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc <br />Address: 8120 Gage St. <br />Frederick, CO 80516 ABofoa9 pue <br />to ualslnt~ <br />Phone Number: (303) 666-6657 9~flZ ~ ~ ~llf <br />Fax Number: (303) 666-6657 y~~ /~"1 ~, , <br />cr~~ <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 />v~ <br />Signa a of Corporate Officer, Owner, or Designee <br />~~t,C~tC' ZOU~, <br />Date <br />