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~~ <br />RE~E@~E~ <br />FEB 0 21006 / <br />Division of Minerals and DealOgy <br />PERMITTEE NAME: Warren & Sally Wilcox dba Gunnison Gravel &Earthmoving <br />PERMIT NO.: M-1978-305 <br />OPERATION NAME: Dickerson Pit <br />ANNIVERSARY DATE: February 22, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <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 />steal l~ubmi t_the_annuaLfee,_a~epnrt _and~nap_showin2_the_extenLn~cuvent_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 ymrr revised written anneal rennrt and anmral refit maT to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pennittee Contact: Warren Wilcox <br />PermitteeName: Warren & Sally Wilcox dba Gunnison Gravel & Earthmoving L,LC <br />Address: P.O. Box 42 <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-3088 <br />Fax Number: (970) 641-5811 <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 />0 <br />gnature of. ate fficer, Owner, or Designee <br />~~~ ~~~~ <br />D to ( ~ ~~,~ ~~,(J <br />M,o NtP~7 J~P ~i,~ ,-~P~t c~ ~, A-, ~ S ~: <br />~~~«~~ <br />