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SEP-29-2006 10:23AM FROM-DIV RECLAMATION MINING 8 SAFETY 3038329102 T-262 P.003/003 F-590 /1'~ <br />io -i3 -e ~-c~ <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />~nrr n ~; ~M6 <br />PERhIlTI'h-E NAME: ~ Canyon Sand & Gravel vDivision of Reclamation, <br />PERMiTNO.: //M-1988-057 Mining and Safety <br />OPERATION NAMfi: Canyon Sand & Gravel <br />ANNIVERSARY DATE: Angust 16, 2006 <br />ANNUAL FEE DUE: $281.00 (Dee on or bcforc your anniversary date) <br />COUNTY:, Archuleta <br />According to C.R.S. 34-325-116 or C.R.S. 3432-116, 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 disnubances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that arc anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming Year, the dares for the beginning <br />of active operations, and the daft active apCrations ceased for the year, if any. <br />lease attach your revised written anneal rcoort and anneal report map to this form The Anneal Report <br />& Fee regairemcnt is not met until we hoot received the following componontx fee, report. and associated <br />moo (All are required regardless of the -evel of disturbance or absence of disturbance during the previous <br />year). Please note tkat an adequately labeled map that clearly deli>teates and includes the above elements may <br />su„~cefora »ritten report. <br />Division records indicate the following pemtittee contact information. Please verity and make any necessary <br />changes: <br />Permitice Contact: Robert S. Scott <br />Permittee Name: Canyon Sand & Gravel <br />/'~,~~ lltf /jee <br /> <br />?fL "~?z T/~/ 7 or rt~C1~ ~n/~ <br />/.r1~7<f <br />Q <br />rA <br />6l rn vim , ~ '~ -,/~ G <br />/ <br />~ <br />!/lOl_ ~ / NLt/d /~CY//l~ iovOS~rs/ ~~ <br /> <br />Address: <br />Phone Number <br />Pax Number <br />P.O_ Box 4362 <br />Pagosa Spriggs, CO & 1157 <br />re6vr%f- <br />(970) 731-4707 ~ieg~, SPG 2~0~ S' <br />(970) 731-4707 /7r/Jnr~.~o/ iyrr.~ s,~ ~~aS <br />If you have additional coaanents 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. Atmua] Report instructions are enclosed. <br />S' tare of Corpo ' e Officer, Owner, ar Ue ec <br />~9~D~v <br />Date <br />