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Ap +- a pr <br /> ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Yust Ranch <br /> <br />PERMIT NO.: M-2000-014 <br />OPERATION NAME: Yust Ranch Gravel Pit <br />ANNIVERSARY DATE: May 22, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Grand <br />RECD ED <br />JUN 10 2000 <br />Division of Reclamation, J <br />Mining and Safety V/ <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,%ear, new disturbances that are anticipated to occur <br />during the upcomin-g year, reclamation that will be performed uurirg the conning 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 may 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 durin 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: Jim Yust <br />Permittee Name: Yust Ranch <br />Address: P.O. Box 246 <br />881 Grand County 1 <br />Kremmling, CO 80459 <br />Phone Number: (970) 724-3578 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />be w or attayh-it to this form along with your written report and map. Annual Report instructions are enclosed. % -? <br /> <br />Signature of <br />Owner, or Des <br />42Ew1 <br />s - ??-0 <br />Date