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Ai-- *-- Rl (- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: - <br />ANNUAL FEE and REPORT RE VEST <br />General Operating Company <br />M-1979-034 C/ <br />Gardner Gravel Pit <br />May 26, 2009 <br />RCE <br />APR 2 8 2009 c/ <br />Division of RQclamatiow, <br />Miring and Safety <br />$791.00 (Due on or before your anniversary date) <br />Routt <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-te-date-and-dur-ing-the-preceding_year-,-new-disturbances-that-are antic-ipated-to-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 map 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: Dan Redmond <br />?0 C'e?ES <br />Permittee Name: General Operating Company <br />Address: P.O. Box 223 <br />Yampa, CO 80483 <br />Phone Number: (970) 736-1137 <br />- . Fax.Number.:-_ ?_ - -?- -- -- _ - - -- - - - - - -- - <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attthis form along with your written report and map. Annual Report instructions are enclosed. <br />erne Qb <br />Si atu e o o ate Officer, Owner, or Designee <br />4.28.03 <br />Date