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ffr Rri" <br />S SS <br />ANNiIAi. FF.F, and RF.PnRT RF,OiIF.ST <br />PERMITTEE NAME: N~ontrose County~~~ ~~C~~~"~~'~ <br />PERMIT NO.: ,/M-1984-152 d~~Q ~ 2 ZQQS <br />OPERATION NAME: Grizzly Ridge Pit <br />l-fvbico et Niins;.'.~: ~ C~nloy}I <br />ANNIVERSARY DATE: September 27, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />___ _ According-to_C.R.S._34-32.5-L16-or_C.R.S. 34-32-116,_each year, on the anniversary date-of.-the-permit,_an- - -- <br />-- - -operator-shall-submit the-annual-fec,-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 annnal rennrt and annnal report m M this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 16l S. Townsend <br /> Montrose, CO 81401 <br />Phone Number: (970) 252-7000 <br />Fax Number: (970) 252-7010 <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 />_ ~ ~ ~ `~-~ <br />ature of Corporate Officer, Owner, or Designee <br />~ /Z ~o-~ <br />Date <br />M:~PERMITNIASTERDOCUMENTSNI-AF-04 <br />