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<br />/,"~ <br />~~ ~ ~~T <br />ANNUAL FEE and REPORT REQUEST„ ~ <br />PERMITTEE NAME: Craig J. Walker Revocable Trust ~(~ <br />PERMIT NO.: M-2003-068 ;~ <br />OPERATION NAME: Mary's Mountain Gravel Pit <br />ANNIVERSARY DATE: February 24, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Huerfano <br />"~t (:~~~t1 ~~ <br />~~~~ ~ ~~ <br />®~~~ ,.~ <br />®i~ision ".' ~~ <br />~linip9 e,-~~ ~~ ~~~®sn, <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 />- reciamatiott accom fished-to date~arid durri the recedri 'ear new disturbances that are-antici aied-fo -occur -" <br />P g P gy^, P <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 componentsfee, 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 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: Craig J. Walker <br />Permittee Name: Craig J. Walker Revocable Trust <br />Address: 420 E. 58th Ave., Ste. 200 <br />Denver, CO 80216 <br />Phone Number: (303) 292-5537 <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 attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />,^ ~~ <br />(/ ~G~-~--~. <br />Signature of Corporate Officer, Owner, or Designe <br />© ~~ <br />Date <br />