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~. <br /> <br />9ivision of Alinerals and Gealoo~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Bear River Sand & Gravel <br />M-1986-040 <br />Bear River S & G <br />RECEIVE"~„ <br />NOV 2 0 2003 <br /> <br /> <br />November 20, 2003 Division oiMinerz~- end Geoloo~ <br />$688.00 (Due on or before your anniversary date) <br />Routt <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 />shaN--submit-the-annual-fee; a-report-arid-map -showia~he-extent-of-current-disturbances-te-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 your revised written annual rennrt and annual r~nrt man to this form. Please note that on <br />adequately labeled map that clearly delineates and includes the 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: Lester Crawford <br />Permittee Name: Bear River Sand & Gravel <br />Address: P. O. Box 616 <br />Oak Creek, CO 80467 <br />Phone Number: (970) 736-2310 <br />"---Faz Number: - <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~? <br />Si ature of Corporate Officer, ner, or Designee <br />~l- ~©~®3 <br />Date <br />M:~PERM ITUTASTERDOCUMENTSU1-Ar-01 <br />