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sss <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: James D. and Beckie J. Krakel APR 10 2001 <br /> PERMIT NO.: M-1994-096 DIYISIaa of IWInerals and Geology <br /> OPERATION NAME: Russell Gravel Pit <br /> ANNIVERSARY DATE: April 14,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Larimer <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 Lipcoming 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. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: James D. Krakel <br /> Permittee Name: James D. and Beckie J. Krakel <br /> Address: P. O. Box 732 <br /> Wellington, CO 80549 <br /> Phone Number: (970) 568-7403 <br /> Fax Number: <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 <br /> enclosed. <br /> 7)111 , <br /> i e o Corporate Officer or Owner <br /> Dte- <br /> Ni TER MIM4ASTERDOCUNfENTSN-AF-01 <br />