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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNTXrERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Ap <br />ANNUAL FEE and PORT REQUEST <br />Grand Gravel <br />9 <br />M-1"8-01 <br />Grand Gravel Pit <br />RECEIVED <br />,---'JUL 2 7 2009 <br />Division of Reclamation, <br />Mining and Sataty <br />August 11, 2009 <br />S791.00 (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 during -the upcommg.y affect land, <br />-----reclamation accomplished to--date -and during t6ie-preceding-yam;-nom'"tistarbances-that-are -anticipated <br />ear, reclamation that wiltbe 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 re ort 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 />may. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous ear's ma are necessa then no new ma is required, rovided that the O rator 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: Richard E. Curry <br />Permittee Name: Grand Gravel - <br />Address: P.O. Box 566 - <br />Hotchkiss, CO 81419 <br />Phone Number: (970) 872-3545 <br />Fax Number: (970) 872-3792 <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 />Signature of Corporate Officer, er, or Designee <br />_ //.2 a !B <br />Date