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ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Grand Gravel RECEIVED <br />...? <br />PERMIT NO.: M-1998-019 JUL 14 2000 <br />OPERATION NAME: Grand Gravel Pit Division of Reciamation, <br />Alining and Safety L'9 <br />ANNIVERSARY DATE: August 11, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Grand <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 shall <br />_ submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />accomplished to date and during the preceding year, new disturbances that are anticipate to occur during e upcoming <br />year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the <br />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 & Fee <br />requirement is not met until we have received the following components fee, report, and associated map. If no <br />new -disturbances or reclamation have occurred durin the previous year and no new chap es to the previous <br />ear's ma are necessary, then no new ma is re uired provided that the Operator shall state this in the Annual <br />Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary changes: <br />Permittee Contact: Richard E. Curry <br />J1 ?_ f/I'S.clziYLQ?1i <br />Permittee Name: <br />Address <br /> <br />Grand Gravel <br />P.O. Box 566 <br />Hotchkiss, CO 81419 <br />Phone Number: <br />Fax Number: <br />(970) 872-3545 <br />(970) 872-3792 <br />If you have additional comments and/or information that sh <br />attach, it to this form along with your written report and map <br />Signature of C orate Officer, ner, or Designee <br />7b be, le5 e <br /> <br />7o <br />na oe provided to the'Division, please provide it below or <br />Annual Report instructions are enclosed. <br />01"o 011 <br />Date