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~~~~ ~ <br />9~M <br />v ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: V Ouray County <br /> <br />PERMIT NO.: ~-1991-097 <br />OPERATION NAME: Triple R Gravel Pit <br />ANNIVERSARY DATE: November 26, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />~6 -as-~ 1 <br />RECl~I~1~,p <br />~~~qCT 25 2006 <br />Division of Reclamation, <br />Mining and Safety <br />_^ According to C.R.S. 34-32.5-1_16 or C.R.S. 34-32-116,_each_year„~on_the anniversary_date_ntrthe permit,_an-- <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual reuort and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated moo. If no new disturbances or reclamation have occurred during the arevious vear and no <br />new chances to the arevious year's moo are necessary, then no new moo is reauired, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: Chris Miller <br />Permittee Name: Ouray County <br />Address: P.O. Box 456 <br /> Ridgway, CO 81432 f 3 d a W a J <br />Phone Number: (970) 626-5391 <br />Fax Number: (970) 626-4439 <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 <br />enclosed. ' I <br />ts-gnature of Corporate Officer, Owner, or Designee <br />/I~-23 -~ <br />Date <br />M:IPERMITUTASTERD000MEMSU4-AF-09 <br />