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PERMITTEE NAME: Colorado Division of Highways c . [)i. kt4 S <br />PERMIT NO.: %1-1986-037 <br />OPERATION NAME: BLM Olathe Pit <br />ANNIVERSARY DATE: February 1, 2012 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 <br />Report & Fee requirement is not met until we have received the following components: fee, report. and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Jeremy Lucero <br />Pennittee Name: Colorado Division of Highways <br />Address: 222 S 6th St Rm 317 <br />Phone Number: (970) 683 -6221 <br />Fax Number: (970) 683 -6227 <br />eery* oartlN, Met !have receive ine ;hods a s-.nice. <br />If "��'or information that should be provided to the Division, please provide it <br />with your written report and map. Annual Report instructions are <br />Signature of Corporate Officer, Owner, or Designee <br />Z -- f %'Z 1 fa-p q / apK4 Ua ( -007 <br />Date <br />M; IPEAMr 11MASTERDOCUMENTS`.M -AF-04 <br />Grand Junction, CO 81501 <br />0 ' re(n01Je c <br />