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RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />General Operating Company <br />M-1979-034 <br />Gardner Gravel Pit <br />May 26, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />MAY 0 1 2003 <br />Girision of Minerals and Geology <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 />e ~ 1e~a-re~o e tetst~f cCirrent-di~rUrb~nt<e~'"ta~affectetl-1a~rd; <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 xonr revised written anneal report and annual report main to this furm_ Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffrce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Doug Redmond <br />PetTnittee Name: General Operating Company <br />Address: <br />_,_ _P_hone.Number: <br />Fax Number: <br />P.O. Box 223 <br />Yampa, CO 80483 <br />_,(970) 736-i 137 <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 />~~~~~, ~ <br />Signature of Corporate Officer, Owner, or Designee <br />~/~ ~ <br />t~T <br />M:~PERMITMASTERDOCUMENTSV.4-AF-01 <br />