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.~ -~ f <br />FiEC~ - <br />N4v ~ ` t--~ 1riEC~-v~D <br />ANNIiAI, FF,F, and RF.PnRT RF. i(~ iF.ST ,,..n3 <br />pivision of Mic.. - geolaf+` <br />PERMITTEE NAME: Ouray County pialslun of Minerats and <br />PERMIT NO.: M-1991-097 <br />OPERATION NAME: Triple R Gravel Pit ~Eri~w~® <br />ANNIVERSARY DATE: November 26, 2003 NOV 19 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />nivision of Minerals and Geola~~ <br />COUNTY: Montrose <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 <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 />Ptease attach ynnr revised written annual rennrt and anneal tenor[ m~ to Chic form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bob Wolford <br />Permittee Name: Ouray County <br />Address: P. O. Box 456 <br /> Ridgeway, CO 81432 <br />- Phone Number: -(470) 626-5341 - -- - - --- ---- - - <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. <br />G~~:S~ <br />Signature of Corporate Qf rcer, Owner, or Designee <br />/ ?moo ~~ <br />Date / <br />M:\PERM17N7ASTER DOCUM ENTSVN-AF-04 <br />