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t - '= <br />`I" <br /> ANNUAL FEE and REPORT VEST <br />PERMITTEE NAME: Parkerson Brothers LLC <br />PERMIT NO.: M-1984-001 i / <br />OPERATION NAME: <br />h Surface Rock Pit <br />ANNIVERSARY DATE: Apri14, 2008 <br />ANNiJAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <br />~~c~av~~ <br />~ ~ V <br />APR 0 200 <br />Division of Reclamation, <br />Mining and Safety <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 />-- --- - --reslarnation-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 man 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 durinE the previous year and no new chanEes 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: Alan Parkerson <br />Permittee Name: Parkerson Brothers LLC <br />Address: 710 S. 15th St <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-8134 <br />Fax Number: <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 ~ along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Co orate Officer, Owner, or Designee <br />~~ <br />Dat~ ~ ~ <br />