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t? V +' ep-ir <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 />Morrow & Sons, Inc. Lfy <br />M-1979-187 <br />Morrow/Murphy Gravel Pit <br />January 23, 2009 <br />^f <br />$791.00 (Due on or before your anniversary date) <br />Grand <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-t-c,--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 may 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 may 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: Steven D. Morrow <br />Permittee Name: Morrow & Sons, Inc. <br />Address: P.O. Box 37 <br />Phone Number: <br />Fax Number <br />Fraser, CO 80442 <br />(970) 726-5624 <br />(970) 726-9755 <br />If you have additional comments and/or information that should be <br />b w or attach it to this form along with your written report and map. <br />Signature of orporate fficer)0wner, or Designee <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed.