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ANN AL FEE'and PORT REOUEST <br /> <br />PERMITTEE NAME: LP arimer County <br />PERMIT NO.: V4_1977-425 <br />OPERATIGV NAME: Strang Gravel Pit <br />ANNIVERSARY DATE: April 23, 2010 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br /> <br />CIVED <br />MAR 2 10` 0 <br />Division of R0610moof" <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 <br />operator-shall-submit-the-annual-fee, a-report and map-showing the-extent-of-current-di-stur-bances-to-affected --- <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated neap. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Dennis C. Morrison <br />Permittee Name <br />Address: <br />Larimer County <br />P.O. Box 1190 <br />Fort Collins, CO 80522 <br />Phone Number: (970) 498-5652 // p <br />Fax Number: (970) 221-0232 © • J b?A C? <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 <br />e <br />Signature of Corporate Offic Owner, or Designee <br />Date <br />M: \PERMITVMAST--RDOCUMENTSW-AF-04