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V~ <br />RECEIVE® <br />JUN 0 6 2Q~'^ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REpUEST <br />Currier Gravel Pit, Inc, <br />M-1980-203 <br />Currier Gravel Pit <br />June 29, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Mesa <br />Division of Minerals and GealogY <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 />- -shalt submit-[Se annual-fee,-a report-and-map-showing-the extent of current disturbances [o affected land;__ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />-- during the upcoming yeaaz, teclam8tibn that will ba perfotmed~dunng ihe" cottimg year; thr~tes foe [he beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report maa to this form. 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 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 />7no~~~ (~,u,n.~.t.~-- <br />Signature of Corporate Officer or Owner <br />(~~~f 0~ <br />Date <br />M:~PERMI7'~MASTERDOCUMENTSVv1.AP-O7 <br />