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<br />~~~ <br />Te <br />MIT <br />NAM Ri <br />k H REGE6VE® <br />PER <br />TEE <br />E: unt <br />c <br />PERMIT NO.: M-1982-112 MAR 15 2004 <br />OPERATION NAME: Miller Gravel Pit <br /> Division of Minerals and DeoloBY <br />ANNNERSARY DATE: March 11, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Elbert <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 to affected land, <br />reclamation-accomplished_to_date_and_during_the_preceding. year,_new_distutbances_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 ~~r r wised written annnal report and annual report main, 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 />Pennittee Contact: Rick Hunt <br />Permittee Name: Rick Hunt <br />Address: 43160 CR 17-21 <br />Phone Number: <br />Fax Number: <br />If you have <br />below or atG <br />Elizabeth, CO 80107 <br />(303)841-3970 <br />(303)646-9233 <br />ents and/or information that should be provided to the Division, please provide it <br />along with your written report and map. Annual Report instructions are enclosed. <br />Corporate Officer, Owner, or Designee <br />3-I I-O~ <br />Date <br />