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ANNU E ahd PRE ORT REQUEST <br />PERMITTEE NAME: Colorado Gravel Products Inc. <br />PERMIT NO.: /M-1999-117 <br />OPERATION NAME: Colorado Gravel Products Inc. <br />ANNNERSARY DATE: June 23, 2007 ~~~ / ~t,11 <br />ANNUAL FEE DUE: $$9.06 (Due on or before your anniversary date) <br />COUNTY: Saguache <br />r~ <br />RECEI~/ED <br />'~I,IUN 0 8 2007 <br />mision of Reclamation, <br />Mining and Safety <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 duri~-the preceding-year;-new-disturbances.ihat_are_anticipated to occur- _ <br />during the upcoming yeaz, 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 vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous year's map are necessary. then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Kenny Smith <br />Permittee Name: Colorado Gravel Products Inc. <br />Address: 45247 Hwy 112 <br />~~~ __ - _ _ -.,,a...~_~_ ~- ~-. ,_~.._~-.-_ _.~~..-_.._.~- - - ._-. _. ~w __ _ <br />Center, CO 81125 -~ <br />Phone Number: (719) 754-2744 <br />Fax Number: (719) 754-2745 <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~orporate Officer, Owner, or Designee <br />~- ~-1J ~ <br />Date <br />