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,/ Ic7-- <br />i; <br />PERMITTEE NAME; <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COiJNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Gillette Sand and Gravel, Inc. <br />M-1992-009 <br />Gillette Pit <br />February 9, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Teller ,~ <br />(RE'CE9~~~~ <br />FEB 1 9 2002 <br />!)ivisian at Minerals and Geology <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 ti:at 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 annual report and annual report map to this for~rt. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark Yevoli <br />Permittee Name: Gillette Sand and Gravel, Inc. <br />Address: 12185 N. Dumport Wy. <br />Littleton, CO 80125 <br />Phone Number: (303) 683-0200 <br />Fax Number: (303) 471-1258 <br />~RM ~ <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or atJplch itt t~~this form along with your written report and map. Annual Report instructions are enclosed. <br />pfficer or Owner <br />M:~PERM ITNA ASTER DOCUM ENTSVvI-AF-OI <br />