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Ap -- ePT <br />ANNUAL FEE and REPORT REOUEST <br />VO- <br />PERMITTEE NAME: C & J Gravel Products, Inc. <br />PERMIT NO.: M-1980-146 <br />OPERATION NAME: Montoya Pit <br />ANNIVERSARY DATE: May 1, 2009 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />MAY 0 6 2009 <br />Div+ 0n of Negation' yi <br />WIarz9 and Safety <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 year and no new changes to <br />the previous vear'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: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />John Gilleland <br />C & Travel Products, Inc. _ <br />27661 U.S. Hwy. 160 E. <br />Durango, CO 81301 <br />(970) 385-4112 <br />(970) 385-5014 <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 />gnattlre of Co rate Officer, Owner, or Designee <br />Date <br />01