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q ~~ <br />~h~ <br />,ANNUAL FEE and REPORT REQUEST <br /> E <br />~ ~~ <br />PERMITTEE NAME: / Weber Sand & Gravel, Inc. '~~~ <br />, ` <br />~ <br />PERMIT NO.: ~M-1995-056 ~SEP 0 7 2006 <br /> ~ <br />OPERATION NAME: Weber Pit No 2 ~ <br />' Division of Redamatfon <br /> , <br />~~9 and Safely <br />ANNNERSARY DATE: September l8, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your ann iversary date) <br />COUNTY: Archuleta <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map snowing the extent of cunent 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 your 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, resort, and associated <br />map (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />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 Kathy or Andy Weber <br />Permittee Name: Weber Sand & Gravel, Inc. <br />Address: 2980 E. Hwy. 160 <br />Pagosa Springs, CO 81147-9741 <br />Phone Number: (970) 264-4568 <br />Fax Number: (970) 264-9089 <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 aze enclosed. <br />Signa re of C orate Officer, Owner, or Designee <br />_ ~-_ - V <br />Date <br />