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PERMTl"fEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANi~A~EIE an~PORT REQUEST <br />~Yust Ranch <br />~M-2000-014 <br />Yust Ranch Gravel Pit <br />May 22, 2007 <br />$$281.00 (Due on or before your anniversary date) <br />Grand <br /> <br />~~ pn 2 ~} ?0+77 <br />j' rision o'r i r;u~mation, <br />Mining and Safety <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 />shall submit.the.annual fe_e,_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 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, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map 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 jor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jim Yust <br />Permittee Name: Yust Ranch <br />Address: Box 246 881 Grand County 1 <br />I{remmling, CO 80459 <br />Phone Number: (970) 724-3578 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Owner, or Designee <br />h'//~/o <br />Date <br />