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<br />RECEIVED <br />JUL 2 4 2003 <br />PERMITTEE NAME: Florence Sand & Gravel <br />PERMIT NO.: M-1992-051 <br />OPERATION NAME: Florence Sand & Gravel Pit <br />ANNIVERSARY DATE: August 11, 2003 <br />Division ~f Minerals and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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 />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 ym~r revised written anm~al r .Port and anneal rennrt mao to this fnrm_ 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: Del Rodarmel <br />Permittee Name: Florence Sand & Gravel <br />Address: 799 5th St. <br />Penrose, CO 81240 <br />P_hone_Number:~(71.9~_3?2_--6025 <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 enclosed. <br />Signature of Corporate Officer, Owner, of Designee <br />~/aa/ate <br />Date <br />M:~PERMITNIASTERDOCUMENTSNI-AF-OI <br />