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<br />Po'P <br />ANNUAL FEE and REPORT RE VEST <br />PERMITTEE NAME: Grant Bros Construction Ltd <br />PERMIT NO.: M-1981-068 <br />OPERATION NAME: Loesch Pit <br />ANNIVERSARY DATE: October 27, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Garfield <br />`- SEP i 5 6 <br />tid <br />P Division or Nec?amation, <br />A King and Suety <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-dur-ing-the-preceding=year,-new-distur-banes 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 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: Dan or Doug Grant <br />Permittee Name: Grant Bros Construction Ltd <br />Address: P.O. Box 1027 <br />Basalt, CO 81621 <br />Phone Number: (970) 927-3201 <br />Fax Number: (970) 927-8386 <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 enclosed. <br />U? S? Y.2ao-7 <br />6- 4-T-D,4 k?i ,• Soil n S <br />Signature of Corporate Officer, Owner, or Desi ee ??VA a,-dears S <br />Date