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ANNUAL FEE and REPORT RE UEST ECE9VED <br />PERMITTEE NAME: CAMAS Colorado, Inc. APR 19 2001 <br />PERMIT NO.: M-1992-069 Division of Minerals and GealoAY <br />OPERATION NAME: 83rd Joint Venture <br />ANNIVERSARY DATE: January 26, 2001 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, [he dates for [he <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual resort and annual resort map to this form. Please more [ha[ an <br />adequa[ely labeled nurp chat c/early delineates and includes the shove elemen[s may sujrce for a written <br />repot[. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />PermitteeContact: Riai~eid.ABes~ i'![Clice ~ ~ Re~le.- <br />Permittee Name: CAMAS Colorado, Inc. <br />Address: 3605 S. Teller St. <br />Lakewood, CO 80235 <br />Phone Number: (303)985-1070 <br />Fax Number: C30,$) 7iG - s`a g q <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 />~~ ~~ <br />Signature of Co poste Officer or Owner <br />~~,gl~< <br />Date <br />\ M.1PERh11TV.1A5TERDOCUMENTSV.I-AF-01 <br />