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Ss 5 <br />RECEr~~~a <br />ANNi1AT, FF,F, and REPORT RF.TTTTFST FEB 2 1 2006 <br />!)ivisicn of iJan~r.s gad Gcoicyy <br />PERMITTEE NAME: Rudy Fontanari <br />PERMIT NO.: M-1986-002 <br />OPERATION NAME: Whitewater Quarry <br />ANNIVERSARY DATE: February 26, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamafion 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 ynnr revised written anm~al report and anneal rp~ n~ rt maT to this fnrm_ Please note that an <br />adequately labeled map that clearly delineates 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: Rudy Fontanari <br />Permittee Name: Rudy Fontanari <br />Address: 3316 E. 3/4 Rd. - Rt. 1 <br />Clifton, CO 81520 <br />Phone Number: (970) 434-7948 <br />Fax Number: <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 />Signal of Corporate Officer, Owner, or Designee <br />/6~r to <br />Date <br />