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° <br /> ~~1 <br />1 <br /> <br /> FEE and REPORT REQUEST <br />PERMITTEE NAME: Currier Gravel Pit, Inc. RECEI V <br /> <br />PERMIT NO.: <br />~M-1980-203 I=D <br /> v!JUN 19 2007 <br />OPERATION NAME: Currier Gravel Pit <br /> <br />ANNIVERSARY DATE: <br />June 29, 2007 ision of Reclamation, <br />Mining and Safety <br />ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <br />h~ <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 />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 vour revised written annual resort and annual report mau to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maP. If no new disturbances or reclamation have occurred durinti the urevious year and no new chanties to <br />the previous year's man are necessary, then no new moo is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division .records indicateahe following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Merial I. Currier <br />Permittee Name: Currier Gravel Pit, Inc. <br />Address: P.O. Box 27059 <br />Denver, CO 80227 <br />Phone Number: (303) 734-2333 <br />Fax Number: (303) 738-9557 <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 />Signature of Co orate Officer, O er, or Designee <br />(~-17-~1ou~ <br />Date <br />