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<br />'~ <br />REGEE\~~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Canyon Sand & Gravel <br />M-1988-057 <br />Canyon Sand & Gravel <br />August 16, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Archuleta <br />APR 01 2004 <br />Division si Minerals & Gaolopy <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 />s a su mu t e annua fee, a report an map s owing the extent of current istur 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 ynnr revised written annnal rennrt and annnal rennrt m ~n 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: Robert S. Scott <br />Permittee Name: Canyon Sand & Gravel <br />Address: P. O. Box 4362 <br />Pagosa Springs, CO 81157 <br />Phnncl7umber• (270~731~707-- <br />Fax Number: (970) 731-4707 <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 />5d Gd1/U <br />Si re of Corporate Officer, Owner, or Designee <br />31+~0~{ <br />Dat~ <br />M:IPERMITVvIASTERD000MENTS AF OI <br />/~/r~2v~c~ „2fidn Civ~ 'EKG Lr/i'~4 ~~u=~ . <br />O ~ - c.o~ <br />~- %~~~ <br />