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AN FEE add REP OR T REQUEST ! ,. <br />PERMITTEE NAME: R R Regester Enterprises, Inc. <br />PERMIT NO.: 2000-088 <br />OPERATION NAME: Antero Gravel <br />7V <br />ANNIVERSARY DATE: May 31, 2010 f?ft0 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Park <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-duri g-the-precv4ing-year-; new--disturbances-that -ar-e-antieip ur---- <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.II Please verify and make any necessary <br />changes: ?Zn r e w S p 'M.n.h a C ?i :?.? `a 5?- ?2a-,r <br />Permittee Contact: Robert C. Regester <br />Permittee Name: R & R Regester Enterprises, Inc. <br />Address: 844 Beaver Pond Dr. <br />Divide, CO 80814 <br />Phone Number: (719) 686-8744 <br />Fax Number: (719) 686-1184 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or atwlc it to this r al9Pg with your written report and map. Annual Report instructions are enclosed. <br />11 <br />n?Kgnature of rp'orate Officer, Owner, Designee <br />Date <br />x4p