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"W_ <br />APT <br />FEE and RT REQUEST <br />A AL <br />PERMITTEE NAME: P /Richard Fryrear <br />PERMIT NO.: ? M-1998-071 <br />OPERATION NAME: Fryrear Gravel Pit <br />ANNIVERSARY DATE: November 6, 2010 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Yuma <br />RECEIVEl) <br />A10CT 2 5 2010 <br />Division of Reciamatlon, <br />_/r'? Mining & 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 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 />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: Richard Fryrear <br />Permittee Name: <br />Address <br />Phone Number: <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below oyAllAch it to this form along with your written report and map. Annual Report instructions are enclosed. <br />c <br />of <br />Richard Fryrear <br />8085 CR 13 <br />Haxtun, CO 80731 <br />(970) 774-6551 <br />Owner, or Designee <br />/o/1's-k AO <br />Date /