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<br />~F~~,~~® <br />NOy'~?0 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Parkerson Construction Co. <br />M-1978-323 <br />Woodring Pit <br />November 22, 2003 <br />4ivisfun nt <br />Minerdisdnd~epino~. <br />$688.00 (Due on or before your anniversary date) <br />Mesa <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 _~ubmit_the_annual_fee,_a_report_and_ma~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 year, if any. <br />Please attach ynnr revised written anneal report and anneal r~pnrt main to this form- please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffrce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Alan Parkerson <br />Permittee Name: Parkerson Construction Co. <br />Address: 710 S. 15th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-8134 <br />- Pax'1dTemtser'-"(990)'242=89~ - - ~~ ~--- <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 />Li/-.uLt~ I-C 0.,m-~vt Q.~ <br />Signa re of Corporate Officer, Owner, or Designee <br />~ 1-/3- D3 <br />Date <br />M:~PERMITUTASTER DOCUMENTSVN-AF-01 <br />