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\ici <br />\V~I V I~F) :uul I(Fl'l)k7 I(Flll'I(5'1' <br /> RECEt1/ED <br />PP.RhII fll;L• \~\11P: Grand Gravel <br />PI~.I(!~nrxU.: ~t-ly')A-n19 •" JUL 262006 <br />UI'IfRA 1 ION NA\(L: Grand Graccl 1'it p,~, ;,„~~,,, r~l,, ,;i,de ~~.~; i, ~iola9v <br />:\\XIVI[RtiAKI' I)Al I : Aukust 11.20(16 <br />ANNI ~Al 111, 1)l l• S68R.(10 (I)uc• on or hcforr tou r nnniscnan date) <br />t UI I\ I }' Grand <br />:\ccording to ('.R.~. ?4?Z.i-I I6 ur ('.I(.S. ?~l•?2-I 16, each year, on the annrvrrsary dale of the pernnt. un uperuor <br />,hall suhmt( the annual fee, a report and map showing tlu estcnl of current disturbances to at'fccted land, <br />reclauruurn aee,nnplrshcd to dale and Juriug dre prcecdwg year, Herr dtstwbauccs that ,ire anncipatcd to occur <br />dunng the upconnng ye:n•, rccl:nnauon that will hr prrlitmtcd durmp the avrnulg year. the Talc. ti,r the brLmmng <br />of deuce upcrauuns. and the dale. acuve upcrahnns cca,ed li,r the year, tl'any <br />1'Icasr alhrch ~nur rcvivcd wri(Ien annual rcporl and annual reuurl man w (his form. I he Annual Kcpor( <br />~~ Fcc requirement is not met until we have recciced (he follnwinl; components: fee, rcuort, and rrssuciau•d <br />w:1 (,111 arc requ)red re(;anllevv of the Iecel of disuu•bance ur absence of divUnfiance Burin}; the previouv <br />year). !'lnr.vr rrn(r Drat art uJr,(u,rrrlc 6rh,•IrJ uxt/> rh~rt rlr,:rh ,i, linr~urv ,:rtJ i~+, L„1.~, rlrr ,rh„o< elrmrnn m,n <br />aurjin'l,~runrillr,rre~(unf. <br />I)nivun rramis indiauc the lidlowing pernntlcc contact intbrnwtiun. Please vcrrt~ and makr any ncecssary <br />changes: <br />I'ennittce <'untact: Ntchard P_ ('urry <br />Pctnuncr \;une: <irand Gravel <br />\ddn~;;. P.U. 1)ox ibb <br /> <br />1'hunc Number. (970) ft72-?i.(5 <br />Fnv Number: 19?0) H?2-?79? <br />If you have adJnional conuncnts anK~ur mtbrnt:uum that ;huuld he prorated In the I)iviston, plra;c pnrvtde it <br />hcl„w ur attach tt lu Ihts ti>mt along rvtth your wnt(cn report and map. :\nnual Report inductions :ur enclnscd. <br />tiignalurc ul (7rrporne OhI icer. Uwncr. or I)cstgnre <br />I)atc <br />