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PERMITTEE NAME: JIf' City & County of Denver, Board of Water Commissioners <br />PERMIT NO.: /W1978-052 <br />OPERATION NAME: Howe Pit <br />ANNIVERSARY DATE: February 15, 2012 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Adams <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: John H. Bambei, Jr. <br />Permittee Name: City & County of Denver, Board of Water Commissioners <br />Denver Water Department <br />Address: 1 600 W. 12th Ave. <br />Denver, CO 80204 <br />Phone Number: (303) 628 -6000 <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 along with your written report and map. Annual Report instructions are <br />enclosed. <br />M .IPERMri1MASTERD000MENTS\M -AF-04 <br />/� P I <br />ANPfi'!AL FEE and REN,RT REQUEST <br />fficer, Owner, or Designee <br />Same <br />Same <br />Same <br />Same <br />Same <br />303 - 628 -6669 <br />303 - 628 -6851 <br />ex <br />RECEI 4,411‹. <br />Drei:-iu« of F :f cl.3mat,on, <br />M :nin;1 & safety <br />