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t _ <br />IIIII 1111111 ~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Moffat County RECEIVED <br />PERMIT NO.: M-1980-239 DEC 0 fi 2001 <br />OPERATION NAME: Sweeney Pit No 30 Division of Minerals and GeolopY <br />ANNNERSARY DATE: December 19, 2001 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 [he upcoming year, reclamation [ha[ 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 resort and annual resort map to this form. Please note that nn <br />adequately labeled mnp that clenrly delineates and inchrdes the nbove elements may suffice for a written <br />report. <br />Division records indicate the following permit[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact Dennis Jones <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Phone Number: <br />Fax Number: <br />Craig, CO 81626 <br />(970)824-9249 <br />(970)824-0356 <br />If you have additional comments and/or information that should be provided to [he Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. stockpile Reduction Only - No I'+iap Necessary <br />~n ~ ~.~~ <br />Signatur f Corporate Officer or Owner <br />Billy E. 14iack (Supervisor) <br />!!-t ~-ot <br />Date <br />M'~PER M mMASTE RDOC U M ENTSVvI-AF-(IJ <br />