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RECEI~/ED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Central Aggregates, Inc. <br />M-1981-006 <br />West Rifle Pit <br />April 27, 2002 <br />APR 2 ~ 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Garfield <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 accomplia~tted`to date'and~during tlfe`preceding yefft;'new distuFbances'tfiat°are amicip°ated'to -ooc`ur -` <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 annual report map to this form. Please note that an <br />adequately labeled map that clearly de[tneates 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: Gilbert T. Lee <br />Permittee Name: Central Aggregates, Inc. <br />Address: <br />Phone Number: <br />P.O. Box 26 <br />Rifle, CO 81650 <br />(970)625-3598 <br />~.~. ~o~- 15~1p7 <br />1 'f"f~ ~~ D1('O~ <br />_,~ .-FaxNumber:~. =C970)625~13a3 __:_-. -.-~_.~__._ , qZC~ -lo~-S- ~~~ _____--_ <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 alb with your written report and map. Annual Report instructions are enclosed. <br />f~`~_.~' _.. <br />Si ature of o orate O ficer or Owner _ <br />Sn rP _ . <br />Date <br />M:~PERM17lMASTERD000MENTSVN-AF-01 <br />