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ka-p <br />f _ <br />ANNUAL FEE and PORT REQUEST <br />PERMITTEE NAME: Colorado Gravel Products Inc. RECEIVED <br />PERMIT NO.: -,M-1999-117 MAY 2 9 2008 <br />OPERATION NAME: Colorado Gravel Products Inc. Vision of Reclamation, <br />ANNIVERSARY DATE: June 23, 2008 Mining and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Saguache <br />d4' <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 yea`r-,Yhe 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 during the previous year and no new changes to <br />the previous year's may are necessary, then no new may 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: Kenny Smith <br />Permittee Name: Colorado Gravel Products Inc. <br />Address: 45247 Hwy 112 <br />Center, CO 81125 <br />Phone Number: (719) 754-2744 <br />Fax Number: (719) 754-2745 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it o this form along with your written report and map. Annual Report instructions are enclosed. <br />ignature o orporate Officer, Owner, or Designee -" <br />? ?? -dam <br />Date