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<br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ 9r 2~ 1 <br />ANNUAL FEE and REPORT RE UEST <br />Grand Junction Pipe/& Supply Co. <br />M-1997-053 ~/ <br />Clifton Water Gravel Pit <br />October 3, 2007 <br />$$791.00 (Due on or before your anniversary date) <br />Mesa <br />RECEIVED <br />SEP 2 8 2007 / <br />Division of ReGamation, -~ <br />Mining and Safety „~~ <br />According.to.C.R_S.3¢_32.5_1.1b.o~C~2.S?a_zz~i i Fi F,-~~~n-tho-annive-rsary-date-of-the-permit; aa-eperator ^ <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, 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. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred during the previous vear and no new chances to <br />the previous year's moo are necessary, then no new moo is required, 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 since for a written report. <br />Division records indicate the following permittee 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: <br />Fax Number: <br />(970)243-4604 <br />(970)241-6703 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of C orate Officer, Owner, or Designee <br />!-w.©`7 <br />Date <br />