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~~ ~. R ~.~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: General Operating Company <br />PERMIT NO.: M-1979-034 -~ <br />OPERATION NAME: Gardner Gravel Pit <br />ANNNERSARY DATE: May 26, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Routt <br />-.~~ <br />~, <br />APR 18 200& ~/ <br />Division c~ ~ieciurnation, <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 />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 your 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 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 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: Dan Redmond <br />Permittee Name: General Operating Company <br />Address: P.O. Box 223 <br />Phone Number: <br />Fax Number: <br />Yampa, CO 80483 <br />(970)736-1137 <br />No CfwN~Fs <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or att o this form along with your written report and map. Annual Report instructions are enclosed. <br />Foil : RED <br />Si ature o rp ate Officer, Owner, or Designee <br />~4 • t 5 • QSg <br />Date <br />