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r CU NI <br />~~f~~~~ <br />ANNTiAT. FF.F, and RF.PnRT RF.ni1F.RT <br />PERMITTEE NAME: R/eese Contracting <br />PERMIT NO.: /M-1996-050 RECE-~/Ep <br />OPERATION NAME: Reese-Logan Sand & Gravel Pit ~~~ 2 8 <br />ANNNERSARY DATE: November 25, 2005 ~.. . <br />rvision ofMineralsand CeologY <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Logan <br />_ Accordine 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 ymrr revised written annual rennrt and annual rep nn rt 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: Galen Reese <br />Permittee Name: Reese Contracting <br />Address: P.O. Box 105 <br />Phone Number: <br />Fax Number: <br />k~17 G <br />~;a~-~ sloi7 <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 />f, ~~ <br />Signa ure o Corporate fficer, Owner, or Designee <br />Atwood, CO 80722 <br />(970)522-0867 <br />ii- ate---fl <br />Date <br />