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i <br /> <br />j p *- RP"- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RE T <br />Grant Bros Construction Ltd <br />M-1981-068 <br />Loesch Pit <br />October 27, 2009 <br />RE! ??I J <br />""OCT ? ?PaNI,S <br />$791.00 (Due on or before your anniversary date) <br />Garfield <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 />- --reelarnation-aecomplished=t"ate -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 beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Pleaseattach 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 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 or Doug Grant <br />Permittee Name: Grant Bros Construction Ltd <br />Address: P.O. Box 1027 <br /> Basalt, CO 81621 - - - - - - - <br />Phone Number: (970) 927-3201 <br />Fax Number: (970) 927-8386 <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 />47L V I?I'LG?N? <br />' <br />VY.C. gam. ?Z.7 k ?a?.( :;,, -fir ' <br />Si <br />Signature of Corporate Officer, Owner, or Desi e S a ?' 1 a F-O'S / <br />D` S Ira <br />Date <br />?otr A Rao t SeC?-?b=, o? ?s?'?ScT?e <br />Le wQ a 0 !U o V t1 !y-S -14 t <br />vz7 ? <br />W ?,