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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />West End Gravel Company <br />M-1994-011 <br />West End Gravel Pit #1 <br />Apri15, 2002 <br />RECEIVED <br />JUN 0 6 2002 <br />Oiuision of Minerals and fieology <br />$688.00 (Due on or before your anniversary date) <br />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 operator <br />__ _ shall _ submit the annual fee,_ a report and map showing the extent of current disturbances [o affected land, <br />reclamation accomplished to date and during the preceding year,- new disTucoances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please. attach your revised written annual report and annual report man 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 indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bob Sutherland <br />Permittee Name: West End Gravel Company <br />Address: P.O. Box 848 <br />Phone Number: <br />Fax Number: <br />Nucla, CO 81424 <br />(970)864-2177 <br />(970) 864-7980 <br />If you have additional comments and/or information [hat 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 />~~L ~~ Q ~ <br />Signature of Corporate Officer or Owner <br />,~- Spy ~~- <br />Date <br />M:~PERMfnMASTERD000MENTSUI-AF-01 <br />