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iiiniuiii <br /> ANNUAL FEE and REPORT REOUEST <br /> RECEIVED <br /> PERMITTEE NAME: River Valley Rock, Inc. MAR 19 2001 <br /> PERMIT NO.: M-1977-522 <br /> OPERATION NAME: Herman Feit Pit Division of Minerals and Geology <br /> ANNIVERSARY DATE: March 23,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Weld <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 upcoming year, reclamation that will be performed during the coming year, the dates for th- <br /> beginning of active.operations, and the date active operations ceased for the year, ifany.•.: ..e , . <br /> Please attach your revised writler annual report and annual report man to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may sufjice 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: Ronald L. Richardson & LUAJ R t,l <br /> r <br /> Permittee Name: River Valley Rock, Inc. STi42 RL=9jby—/y), _ <br /> Address: P.O. Box 967 <br /> Greeley, CO 80632 <br /> Phone Number: (303) 353-9939 970 -39P -1333 <br /> Fax Number: 9 � - <br /> T <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 /> Signature of Corporate Office or Owner <br /> J <br /> Date <br /> I <br /> M'IPERMITV tASTERDOCLJNENTS\M-AF-OI <br />