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III IIIIIIIIIIIIIIII <br /> t ANNUAL FEE and REPORT REQUEST RECE"I fM <br /> APR 2 7 2�. <br /> PERMITTEE NAME: Yust Ranch <br /> OiVl5ion of BOinerals and Geology <br /> PERMIT NO.: M-2000-014 <br /> OPERATION NAME: Yust Ranch Gravel Pit <br /> ANNIVERSARY DATE: May 22,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Grand <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 /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished 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 your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Jim Yust <br /> Permittee Name: Yust Ranch <br /> Address: Box 246 881 Grand County I <br /> Kremmling, CO 80459 <br /> Phone Number: (970) 724-3578 <br /> Fax Number: <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 /> Sig lure C orate Officer or Owner <br /> ���LJ/ <br /> Date <br /> M NERIvUT\MASTERDOCUMENTSW-AF-01 <br />