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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />kese Contracting <br />?M-1996-050 <br />Reese-Logan Sand & Gravel Pit <br />November 25, 2008 <br />$$323.00 (Due on or before your anniversary date) <br />Logan <br /> <br />C? K <br />CCS <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 year, new disturbances that are anticipated to occur <br />_ during the upcoming year, reclamation that will be performed- during the coming year, the dates for the-begin-ning - <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 vear's map are necessarv, then no new man is reauired. 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: Galen Reese <br />tiflLk i l <br />Permittee Name: Reese Contracting E <br />Address: P.O. Box 105 <br />!l <br />Atwood, CO 80722 l? <br />Phone Number: (970) 522-0867 <br />Fax Number: (970) 522-0867 <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 />,a a , , 2a <br />-22A j - _,_4_,el <br />Signature of Corpora e' fficer, Owner, or Designee <br />Ir-(7- <br />Date