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<br />I~ECEIVE® <br />DEC 212005 <br />liwuts:. a loiaalEs ~/ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Duran & Pearce Contractors, Inc. <br />M-1990-140 <br />Martin Pit 1-A <br />December 18, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Moffat <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall-submit the~a~umat-fez~'a-i2part-and map'-showing-the-extent-ef-cu~rent disturbances-ta-affected :and,- - <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 anneal report and anneal re,Pnrf maw to this form- Please note that an <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: Jim Duran <br />Permittee Name: Duran & Pearce Contractors, Inc. <br />Address: 504 Stock Dr. <br />P.O. Box 1331 <br />Craig, CO 81626 <br />Phone Number: (970) 824014 <br />Fax Number: Ct`1 O- ~Z~-~(p ~4 <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 />rgnatur of Corporate 0 facer, Owner, or Designee <br />f,-~- -i`~ -u S-- <br />Date <br />