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<br /> ANNUAL FEE and REPORT REOUEST <br /> <br />PERMITTEE NAME: Rio Grande Count <br />y <br />PERMIT NO.: / <br />M-1978-071 ? <br />OPERATION NAME: Del Norte Gravel Pit <br />ANNIVERSARY DATE: November 25, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Rio Grande <br />V? <br />' 0201 ? <br /> <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1116, each year, on the anniversary date of th?ermit,, an, <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 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 map. If no new disturbances or reclamation have occurred durin the previous year and no <br />new chances to the previous year's may 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: Patrick Sullivan <br />Permittee Name: Rio Grande County <br />Address: 168 N. Washington <br />Phone Number: <br />Fax Number: <br />Monte Vista, CO 81144 <br />(719) 852-4781 <br />(719) 852-0305 <br />If you a additio al comments and/or information that should be provided to the Division, please provide it <br />belo or attach ' ?o this form along with your written report and map. Annual Report instructions are <br />of Corporate Officer, Owner, or Designee <br />/S A/O,/ 06 <br />Date <br />M: PERMIT\MASTERDOCUMENTS\N4-AF-04