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~~~ <br />--~- <br />~~~~a~~® <br />SEP 0 0 2004 <br />PERMITTEE NAME: Weber Sand & Gravel, Inc. <br />Division of Minerals & GeoloBY <br />PERMIT NO.: M-1995-056 <br />OPERATION NAME: Weber Pit No 2 <br />ANNIVERSARY DATE: September 18, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Archuleta <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 fee, a report and map showing the extent of current disturbances to affected land, <br />-- -reclamstiort-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 />phase attach ynnr revised written anneal rennrt and anneal rennrt m ~ to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice 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 <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />l./LJ <br />Signat re of C ~porate Officer, Owner, or Designee <br />q-~~-off <br />Date <br />