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FEE and OR RE UEST <br />PERMITTEE NAME: Yuust Ranch <br />PERMIT NO.: (/M-2000-014 <br />OPERATION NAME: Yust Ranch Gravel Pit <br />ANNIVERSARY DATE: May 22, 2011 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Grand <br />MAY 0 6 2011 <br />/ Division u„ r?t-Qtion, <br />Mining and &*Iy <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 fifes 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 man are necessarv, 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dennis Carpenter <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />If you hay <br />ow or a ach it <br />Yust Ranch <br />P.O. Box 246 <br />881 Grand County 1 <br />Kremmling, CO 80459 <br />(970) 724-3578 <br />970 1zN 0z&0 <br />comments and/or information that should be provided to the Division, please provide it <br />,-€ernrafeag with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate <br />or Designee <br />"/ /0' A(?il V <br />Date