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III IIIIIIIIIIIIIIII <br /> <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 />Reese Contracting <br />M-1996-050 <br />Reese-Logan Sand & Gravel Pit <br />November 25, 2001 <br />r~cv z3 ~~~t <br />division of Niincrzls and Geology <br />$281.00 (Due on or before your anniversary date) <br />Logan <br />According to C.R.S. 34-32._5-116 or C.R.S. 34-32-I 16, 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 [he 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 vour revised written annual report and annual report map to this form. Plense note that an <br />adequately Inbeled mnp that clearly delineates and includes the above elements may since for a n~ritten report. <br />Division records indicate [he following permi[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Galen Reese <br />Permittee Name: Reese Contracting <br />Address: RRI, Box 114 <br />Merino, CO 80741 <br />Phone Number: (970) 522-0867 <br />Fax Number: (970) 522-4751 <br />//C~ C~J/A.JB.E.~ <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed. <br />ignature of Corporate Officer or Owner <br />-.~/- 0 <br />Date <br />M:~PERM rM1ASTERD000A7ENT5U7-AF-01 <br />