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.f\F i- 1"r <br /> ANNUAL FEE and REPORT REOUEST <br /> <br />PERMITTEE NAME: Base Products <br /> v <br />PERMIT NO.: M-1994-053 <br />OPERATION NAME: Base Product Gravel Pit 1 <br />ANNIVERSARY DATE: September 13, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />AUG 14 2008 <br />J j11 <br />Min,no ?; qty n' <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.-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 vour 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 during the previous vear and no new changes to <br />the previous year's may 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: Tony F. Appelhanz <br />Permittee Name: Base Products <br />Address: 62339 W LaSalle Rd <br />Montrose, CO 81401 <br />Phone Number: (970) 249-3061 <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 alon with your written report and map. Annual Report instructions are enclosed. <br />Signat ocer, Owne or Designee <br />F-/d rD S' <br />Date