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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />~/~ !. <br />~ ~ Y I <br />ANNUAL FEE and REPORT REQUEST <br />t~Reese Contracting <br />v1VI-1996-050 <br />Reese-Logan Sand & Gravel Pit <br />November 25, 2007 <br /> <br />'~~~~~~ <br />NOV 2 7 2001 <br />Delon of ~tec!arraa$ion, <br />Mining and Safety <br />$$323.00 (Due on or before your anniversary date) <br />Logan <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 />_ ==--shy"11`-~5ub3ni'C'th~annma9~fee; -a-report-and=rnap-showing--the-extent _ d- la~~u, - - __ <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 report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Galen Reese <br />Permittee Name: Reese Contracting ~~j/n~"- <br />Address: P.O. Box 105 <br /> Atwood, CO 80722 <br />Phone Number: (970) 522-0867 ~~ <br />19~ <br />Fax Number: (970) 522-0867 <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 />Si e of Corporate O icer, Owner, or Designee <br />/~ ~~D~ <br />Date <br />