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k~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />AI~TNIJAL FEE DUE: <br />COUNTY: <br />/~ <br />ANNUAL FEE an PORT REQUEST <br />~S/unnyside Gravel <br />~M-1986-033 <br />Hess Pit <br />March 11, 2008 <br />$$323.00 (Due on or before your anniversary date) <br />La Plata <br />~~~~~D <br />APR 212008 <br />~li/d:i{1d1 Cf~ ~;~;:ci;~~ation, <br />`-- ~inn~ ~~,~ sa€ety <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 />rec ama ion accomp is ed to -date anfi dunng the preceding year; ne-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 resort 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 />man. 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: Alton Hess <br />Permittee Name: Sunnyside Gravel <br />Address: 9983 Hwy 550 <br />Durango, CO 81301 <br />Phone Number: (970) 247-1596 <br />Fax Number: (970) 247-1650 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />bel or atta i this form along with your written report and map. Annual Report instructions are enclosed. <br />/ ' <br />~~ , ~ <br />l~ ' <br />atur orporate Officer, Owner, or Designee <br />/~~~ <br />Date <br />