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~~ ~ K1 -~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Beavers Construction Co./High Mesa Gravel L.L.C. <br />PERMIT NO.: M-2000-067 L/ ~ a j, ; , :, <br />~' ~~.~` <br />OPERATION NAME: High Mesa Gravel Pit FFB 2 <br />ANNIVERSARY DATE: March 15, 2008 Division of 9 20Qg L/ <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) Mmin9 and Sa ~~ on, <br />COUNTY: Delta <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 />reclamation accomplished to date and during the preceding year, new distuibarices 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 man 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 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: Phil B~etmese~n <br />Pl~•~~ °~~~~~ass~ <br />Permittee Name: Beavers Construction Co./High Mesa Gravel L.L.C. <br />Address: 805 North Crest Dr #101 y h, _ <br />Grand Junction, CO 81506 <br />Phone Number: (970) 242-9485 a ~`- <br />Fax Number: (970) 263-7818 ~ ~ ~ <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 />Signature of Corporate icer, esignee <br />~-`13~~ <br />Date <br />