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?C J'- RPg- <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Ouray County ? <br />PERMIT NO.: M-1991-097 - <br />OPERATION NAME: Triple R Gravel Pit <br />ANNIVERSARY DATE: November 26, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />According to C.R.S. 34-32.571L6 or C.R.S._3_4_32=116,-each_y_ear,_on_the__anniversary_date_of_the_pertnit,?t - <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 chanzes 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: Chris Miller <br />Permittee Name: Ouray County <br />Address: P.O. Box 456 <br />Ridgway, CO 81432 <br />Phone Number: (970) 626-5391 <br />Fax Number: (970) 626-4439 <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 />enclosed. <br />6?v- Uk-1 <br />Signature of Corporate Officer, Owner, or Designee <br />16&W08 <br />Dad <br />M:NPERWr\MASTERDOCLTN ENTS\M-AF-04