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~rx1 <br /> ANNIiAT, FF.F. and RF,P(TRT RF. iTF:CT <br />RECEIVED <br />PERMITTEE NAME: Western Gravel, Inc. <br />PERMITNO.: M-1984-108 DEC 1;9 Y005 <br />OPERATION NAME: Olathe Pit Dirir(oe o1 Mtneret <br /> : and GeolegY <br />ANNP/ERSARY DATE: December 14, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br /> <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 />--' slia1T submit "the annual fee, a reporF-ana ma'- p sl-owing~f t}-e ex e`nt of current-disfurtiances to affeoted-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 ynnr revised written anneal report and anm~al report main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Judy DeVincentis 0 <br />Permittee Name: Westem Gravel, Inc. <br />Address: 3001 N. Townsend Ave. <br />Montrose, CO 81401 <br />Phone Number: (970) 249-2431 <br />Fax Number: (970) 249-0590 <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 />Date <br />