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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />ANNUAL FEE an REPORT VEST 14, <br />' Tuis M. Vasquez <br />bM-1999-063 <br />`3EP 2 4 2008 <br />OPERATION NAME: Red Wolf Quarry ivisic,-j U. ' :?Z4'1.7ation, <br />Wi,i?,w and ??i`c?;? <br />ANNIVERSARY DATE: August 23, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <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 tom-annual-fee-a-r-epor-t-and-map-showing-tile-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 vour revised written annual resort and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated may. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous vear's man are necessarv. then no new man is reauired. 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: <br />Permittee Name: <br />Address: <br />Abe Vasquez <br />Luis M. Vasquez <br />P.O. Box 122 <br /> <br />Lyons, CO 80540 <br />Phone Number: <br />Fax Number: <br />(303) 823-6116 <br />(303) 823-6888 <br /> <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 />7?21- <br />io orporate Officer or Owner <br />Date