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,' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~r <br />ANNUAL FEE and REPORT RFi)UEST <br />Valco Gunnison Concrete Division <br />M-1981-014 <br />Rozman Pit <br />June 29, 2002 <br />_~ <br />i <br />RECEIVED <br />JUN 2 7 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Gunnison <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversazy date of the permit, an operator <br />-shall-subrut-the-annual-fee-a-report-a^d-ula ~h^«^ g rt, r r of r, rrenr d~crt,rhances [o 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 vour revised written annual resort and annual report man 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: Ed Stewatt <br />Permittee Name: Valco Gunnison Concrete Division <br />Address: P.O. Box 837 <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-0951 <br />Fax Number: (970) 641-0954 <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 />- ~5~~~ <br />Signature of Corporate Officer or Owner <br />~-fib-off, <br />Date <br /> <br />M:~PERMITVNASTERDOC V MEMSUI-AF-01 <br />