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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />AN AL FEE and REPORT RE VEST <br />Barnard Quarries <br />VI-1996-079 <br />Barnard Quarry <br />January 29, 2011 <br />Mal-, 0 ?r_ <br /> <br />$$323.00 (Due on or before your anniversary date) <br />Boulder <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 reportand_map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and durinetfiepecethng year; iiew' isd turbaifees thafate an ci ated-to`t cur- <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 vear's map are necessarv, then no new man is reauired, 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: Chester Barnard <br />Permittee Name: Barnard Quarries <br />Address: 245 Evans Street <br />P.O. Box 86 <br />Lyons, CO 80540 <br />Phone Number: (303) 823-6977 <br />Fax Number: <br />/I<,- <br />(P l4? <br /> <br />? r <br />it <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 />Signature of Corporate Officer, Owner, or Designee <br />/ `Z I <br />Date