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w/~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />' ~~~ <br />A AL FEE and REPORT REQUEST <br />West End Gravel Company <br />.~M-1994-011 <br />West End Gravel Pit #1 <br />Apri15, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Montrose <br /> <br />.. "~~ <br />~1AR 2 8 2008 <br />~cs,oP: o, re~:cl~rnation, <br />Minim ara~ Safe <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 disturbances that are anticipated to occur <br />during the upcoming year-,-reclamation-thatwill 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 durinE 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: Bob Sutherland <br />Permittee Name: West End Gravel Company <br />Address: 29703 Hwy 97 <br />P.O. Box 848 <br />Nucla, CO 81424 <br />Phone Number: (970) 864-2177 <br />Fax Number: (970) 864-7980 <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 />Signature of Corporate Officer, weer, or Designee <br />c3 - ~~- 08 <br />Date <br />