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<br />~~C <br />RECEIVE® <br />FEB 1 11006 <br />PERMITTEE NAME: Donald R Hart Oivisian of Minerals and Geology <br />PERMIT NO.: M-1980-049 <br />OPERATION NAME: Mott Gravel Pit <br />ANNIVERSARY DATE: February 18, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <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 operator <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, [he dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revis d written anm~al r port and anneal rennrt main 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 />Permittee Contact: Donald R. Hart <br />Permittee Name: Donald R Hart <br />Address: 3500 Clear Fork Rd. <br />Crawford, CO 81415 <br />Phone Number: (970) 921-5299 <br />Fax Number: <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 />Signa e f orporate Officer, Owner, or Designee <br />Date <br />