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l~' `"` <br />~~~R~~ <br />ANNiiAi. FF,F. and RF,PORT RF.ili1FST ~~~~~p e~ ~ ~ <br />PERMITTEE NAME: W,6ber Sand & Gravel, loc. '~~~ Z 6 2pp5 <br />PERMIT NO.: M 1995 056 `~ Divfsian of Mine,,,, ~„ <br />OPERATION NAME: Weber Pit No 2 <br />ANNIVERSARY DATE: September 18, 2005 <br />ANNUAL FEE DUE: $688.00 {Due on or before your anniversary date) <br />COUNTY: Archuleta <br />- -According to C7Z:S-34=32:5=f16 o`r CR.S-34-32=1-l~each year`on t rt e anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances 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 your revised written anmial report and anm~al report man fn 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: Kathy or Andy Weber <br />Permittee Name: Weber Sand & Gravel, Inc. <br />Address: 2980 E. Hwy. 160 <br />Pagosa Springs, CO 8 1 147-974 1 <br />Phone Number: (970) 264-4568 <br />Fax Number: (970) 264-9089 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />__ ~zelow or attach itto this form along with.your written report and map. Annual Report instructions are enclosed. _ _ _ _ _ <br />Signal re of Co orate Officer, Owner, or Designee <br />~-a~- v s <br />Date <br />