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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ ~R~ <br />AL FEEYand REPORT REQUEST <br />Barnard Quarries <br />~M-1996-079 <br />Barnard Quarry <br />January 29, 2007 <br />$$281.00 (Due on or before your anniversary date) <br />Boulder <br />~~rF'A1.r~D <br />JAM 2 5 2001 <br />Davis' notReclamatioq, <br />fining and Safety <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 curtent 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 yeaz, 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 report and annual report maa 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 durinc the arevious vear and no new chances to <br />the arevious year's map are necessary, then no new maa is required, arovided that the Operator shall state <br />this in the Annual Renort. 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 indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Chester Bamazd <br />Permittee Name: Barnard Quarries ~/ C <br />Address: 245 Evans St. q/(% ~' _ <br />P. O. Box 86 /t/ <br />Lyons, CO 80540 !1/ G <br />Phone Number: (303) 823-6977 /~ <br />Fax Number: /y (i' <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions aze enclosed. <br />(~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />~'r /k /Cl 2, CJ D <br />Date <br />