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PERMITTEE NAME: <br />PERMIT NO.: <br />'OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />,A F 4v Z? F <br />ANNUAL FEE and REPORT RE VEST <br />VYust Ranch <br />?M-2000-014 <br />Yust Ranch Gravel Pit <br />'E EI ED <br />? MAY 2 i 2 0 1 j <br />47 <br />i <br />Division of Reclamation, <br />i% Mining a Safety <br />May 22, 2010 <br />$323.00 (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 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 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 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: Jim Yust <br />??eS 16 Kee- <br />Permittee Name: Yust Ranch <br />Address: P.O. Box 246 <br />881 Grand County 1 <br />Kremmling, CO 80459 <br />Phone Number: (970) 724-3578 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />bclow or attach i ith your written report and map. Annual Report instructions are enclosed. <br />k <br />Signature of Corporate Office Ver, or <br />5.15-2010 <br />Date <br />ee