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:r " <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />555 <br />ANNUAL FEE and REPORT REQUEST <br />v /West End Gravel Company, Inc. <br />(/ M-2001-002 <br />Weimer One Gravel <br />RECEIVED <br />/ AUG 14 2006 <br />ivision of Reclamation, <br />Mining and Safety <br />September 12, 2006 <br />$b88.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />- - - shall-submit-the-annual fee, a repcrt-and map show7ng the extent of-current-disturbances-to-affected laud,- - <br />reclamation accomplished to date and during the preceding year, new disturbances that aze 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 yeaz, if any. <br />Please attach vour revised written annual report and annual report mao to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />mau (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />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: Bob Sutherland <br />Permittee Name: West End Gravel Company, Inc. <br />Address: 29703 Hwy. CO-97 <br /> P.O. Box 848 <br /> Nucla, CO 81424 <br />Phone Number: (970) 864-2177 <br />Fax Number: (970) 864-7980 <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 aze enclosed. <br />