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A F + erl <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />West End Gravel Cog;pany <br />M-2001-002 ?/ <br />Weimer One Gravel <br />September 12, 2009 <br /> <br />OCT 0 2 2009 <br />9/ Division of Declamation, <br />Mining and Safety <br />$791.00 (Due on or before your anniversary date) <br />Montrose <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 />duririg`t eli upcoming year, rec a tin is on 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 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 />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 />Perm?ittee Contact: Bob Sutherland <br />Perm ittee Name: <br />Address: <br />West End Gravel Company <br />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 />Signature o Corporate Officer, Owner, or Designee <br />Date