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~~ <br />ANN1iAi. FF,F. and REPORT RF.OiTF ST <br />~~-S RECEIVED <br />PERMITTEE NAME: Grand Junction Pipe & Supply Co. 1 2~~4 <br />JUL 2 <br />PERMIT NO.: M-1999-025 ~~e,ats b Geolo9Y <br />OPERATION NAME: Soaring Eagle Gravel Pit t1'alsi°nnt M. <br />ANNNERSARY DATE: July 12, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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-cunent disturbances-to affected-land, <br />reclamation accomplished to date and during the preceding yeaz, 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 ynnr revised written anneal repnrt and annual re n~LmaTn to this fnrm_ 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: Edward J. Settle <br />Permittee Name: Grand Junction Pipe & Supply Co. <br />Address: P.O. Box 1849 <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4604 <br />Fax Number: (970) 243-6703 <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 />Signature af~Corporate Officer, Owner, or Designee <br />7-z~ <br />Date <br />