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AF + AP <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />Reese Contracting Jk <br />M-1986-048 ? <br />Nicholson Gravel Pit <br />May 22, 2008 <br />RECOVER <br />MAY 2 3 2008 ?)?/ <br />divos+c?rz o. Heciarnation,. <br />Mining and Safety V <br />$$791.00 (Due on or before your anniversary date) <br />Morgan <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 <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: Galen Reese <br />Permittee.Name: Reese Contracting <br />Address: P.O. Box 105 <br />Atwood, CO 80722 <br />Phone Number: (970) 522-0867 <br />Fax Number: <br />22=2 <br />1> <br />l1 <br />2 <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 <br />20;&, A/ <br />Si a e of Corporate Officer, Owner, or Designee <br />-?'- > y <br />Date <br />M:IPERMITIMASTERDOCUMENTS\N4-AF-04