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~ryH <br />PERMTITEE NAME: Parkerson Construction Co. 3 <br />PERMIT NO.: M-1986-160 <br />OPERATION NAME: Sunny Side Gravel Pt <br />ANNIVERSARY DATE: February 17, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 />shat] submit t}ie annua]-fee, a report a`nd-map'showirig the extent of curient distuYbance"s 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 ynnr revised written annual re~nnrt and anm~al re~nrt 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 pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Alan Parkerson <br />Permittee Name: Parkerson Construction Co. <br />Address: 710 S. 15th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-8134 <br />Fax Number: (970) 242-8977 <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 />cam` ~~0~,~ <br />Signature of orporate Officer, Owner, or Designee <br />~y~~~ <br />D~~ <br />