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�k a76f 4 2g( = <br /> II�IIIII�III� III <br /> ANNUAL FEE and REPORT REQUEST RECEIVE® <br /> PERMITTEE NAME: Barnard Quarries JAN 18 2001 <br /> PERMIT NO.: M-1996-079 Division of Minerals and Geology <br /> OPERATION NAME: Barnard Quarry <br /> ANNIVERSARY DATE: January 29,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Boulder <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 neomplishe3 to dale and during the preceding year,new disturbances [Bat are anuclpated 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 mop 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 /> PermitteeContact: Chester Barnard CORRECT <br /> Permittee Name: Barnard Quarries CORRECT <br /> Address: 245 Evans St. CORRECT <br /> P.O. Box 86 CORRECT <br /> Lyons, CO 80540 CORRECT <br /> Phone Number: (303) 823-6977 CORRECT <br /> Fax Number: NONE <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 /> See attached map and report <br /> Signature of Corporate Officer or Owner <br /> / - /S-_ - A/ <br /> Date <br /> M'TERAIITVNASTERDOCUt IENTS\%4-AF-01 <br />