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RF~~'V~~ <br />JUN i s 20QS <br />PERMITTEE NAME: Rio Blanco County .~ Divisiua of Minerals and Gcology <br />PERMIT NO.: M-2000-037 („iUL <br />OPERATION NAME: Baxter Pass Gravel Pit <br />ANNIVERSARY DATE: May 10, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <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 <br />o ep rotor sha <br />land, reclam <br />f fee, a report and map showine~ extent_of cgrrent disturbances to affected <br />to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vrm~r revised written anmial repot and annual report maT M Chic form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements Wray suffice for a umitten <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jereq•~3tee1~ <br />Permittee Name: Rio Blanco County <br />Address: 570 2nd St. <br />Meeker, CO 81641 <br />Phone Number: (970) (?5-8644 <br />Fax Number: (970) 6~5=54i 1 <br />~av~ ~ P~ mor+.~~v <br />~7~-gs9b <br />Fs'78- 33~1~ <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 <br />enclosed. <br />~_~ <br />S' ature of Corporate ffic r, Owner, or Designee <br />~-/~/ S- <br />Date <br />M:~PERMINrASTERDOCUMEM5UI-AF-04 <br />