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r- <br />~' w~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ ~ R P~ <br />ANNUAL FEE and REPORT REQUEST <br />Delta County <br />M-1979-140 <br />Lemoine Gravel Pit <br />R~~e~~il ~P.~ <br />FEB 19 2008 ~ <br />Division Oi rcccsamation,~ <br />Mining and Safety <br />February 16, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Delta <br />_ -__ _ _According-ta C:RS.- 34-32.5-1.16 or C.R.S, 34-32-11fi,-each year,_on_the anniversary--date-of the permit; an. <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: County Engineer <br />Permittee Name: Delta County <br />Address: 501 Palmer St Ste 227 <br />Delta, CO 81416 <br />Phone Number: (970) 874-2100 <br />Fax Number: (970) 874-2114 <br />If yo add t onal co ent or ~i <br />belworattc ttot' long <br />enc sed. _ ~ r` <br />mation that should be provided to the Division, please provide it <br />your written report and map. Annual Report instructions are <br />Signature~€Ci~r~te Otter, UtiTvrler, or lles>.gn~ <br />IS 0$' <br />Date <br />M:~PERMIIIMASTERDOCUMENTS~Tvi-AF-04 <br />