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• N <br /> <br /> <br />PERMITTEE NAME: Currier Gravel Pit, Inc. JUN 2 1 2C05 <br />~ ~ ~ivi;,~~u ~~. r:.c ,~ ;..1. Raulany <br />PERMIT NO.: M-1980-203 <br />OPERATION NAME: Currier Gravel Pit <br />ANNIVERSARY DATE: June 29, 2005 <br />ANNUAL FEE DUE: $281.00 (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 current 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 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 your revised written annual report and anm~al repn_~~ to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Merial I. Currier <br />Permittee Name: Currier Gravel Pit, Inc. <br />Address: P.O. Box 27059 <br />Phone Number: <br />Fax Number: <br />Denver, CO 80227 <br />(303) 734-2333 <br />(303)738-9557 <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` of Corporate Officer, Owner, or Designee <br />b-i~-oa <br />Date <br />