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c,~r <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />=~ Grand Junction Pipe & Supply Co. <br />r~/M-1997-053 <br />Clifton Water Gravel Pit <br />October 3, 2006 <br />/,RECEIVED <br />SFP 9 7 ~~~6 <br />r'/ Division of Recl <br />Mrnin a'nation, <br />9 and Safety <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />rvt52 <br />i4~tp..p6 <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 `dat~arid`durm`g~fCie preceding year, new dis[ucUances 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 annual resort map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chanties to <br />the previous year's map are necessary, then no new map is renuired, 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 suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Edward J. Settle <br />Permittee Name: Grand Junction Pipe & Supply Co. <br />Address: P.O. Box 1849 <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4604 <br />Fax Number: (970) 241-6703 <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 />~~~ <br />Signature of C porate Officer, Owner, or Designee <br />zS -dG <br />Date <br />