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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~~ <br />'Varra Companies, Inc. <br />1978-287 <br />Vader Pit <br />October 5, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Gunnison <br /> <br />~o3~os <br />~ ~ .D-R~~ <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 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 yeaz, if any. <br />Please attach your revised written annual red nrt and anneal rennrt 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 />Permittee Contact: Christopher L. Varra <br />Permittee Name: Varra Companies, Inc. <br />Address: 8120 Gage St. <br />Frederick, CO 80516 <br />Phone Number: (303) 666-6657 <br />Fax Number: <br />~ r r~i <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 ng with your written report and map. Annual Report instructions are enclosed. <br />'~t~ <br />/KR.I jam!' <br />Si re of Corporate Officer, Owner, or Designee <br />turf 7 200; <br />Date <br />