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Fl~;;~pi <br />YERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gunnison County <br />~/ M-1985-072 <br />Taramarcaz Pit <br />June 26, 2005 <br />RECEIVED <br />~EP 2 12005 <br />~(f Dirbion of Minerals and GealaAY <br />$281.00 (Due on or before your anniversary date) <br />Gunnison <br />5rrn L <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 ymrr revised written anmral rennr and anneal re rt mgp_tn fhic form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes:' <br />Pennittee Contact: Marlene D. Crosby <br />Permittee Name: <br />Address: <br />Gunnison County <br />811 Rio Grande <br />Gunnison, CO 81230 <br />Phone Number. (470) 641-0044 <br />Fax Number: (970) 641-8120 <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 />S~ lure of Corporate Officer, Owner, o esignee <br />~U3 X05 <br />Date <br />M:~PERM771MASTERD000MENTSWI-AF-04 <br />