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Ar-7 * Qi'? <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: f Gunnison Aggregate Resources, LLC / <br />PERMIT NO.: / M-1978-305 <br />OPERATION NAME: Dickerson Pit <br />ANNIVERSARY DATE: February 22, 2011 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <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 />reclamationaccomplished to-date -and-during-the-preceding year, -new-disturbances-that are-anticipated to QC-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 vour revised written annual report and annual report 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 />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: Warren O. Wilcox <br />Permittee Name: Gunnison Aggregate Resources, LLC <br />Address: P.O. Box 42 <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-3088 <br />Fax Number: <br />If ou have additional comments and/or information that should be provided to the Division, please provide it <br />be! o v or attali it to/kVyorm along with your written report and map. Annual Report instructions are enclosed. <br />%iature of Corporate Officer, Owner, or Designee <br />Date