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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t, fr + Wr <br />ANNUAL FEE and REPORT REOUEST <br />?Western Slope Aggregates <br />---'M-1981-207 <br />Blue Pit <br />March 8, 2011 <br />RECEIV99 <br />? MAR 08 ?011 <br />Division of Reclamation, <br />t Whig and SafaLy <br />$791.00 (Due on or before your anniversary date) <br />Garfield <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 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 />ma j). 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: Svr_ ? MF_ -? <br />Permittee Name: Western Slope Aggregates <br />Address: 304 Highway 133 <br />- ?arbonda et , CO 81623 <br />Phone Number: (970) 963-9424 <br />Fax Number: (970) 963-1554 <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 />dLCQ-?b?s'1- <br />Signature of Corpora Officer, Owner, or Designee <br />Date