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OCT 0 y 2Q02 '~-' <br />~IYlsion of Minerals and OeelegY <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Colorado Lien Company <br />M-1978-093 <br />Newett Quarry <br />September 28, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Chaffee <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 fe_e,_a report_and_map_show.ing_[he_extent_of current_disturbances_to_ affected_land,_ __ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o 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. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Lecia Craft <br />Permit[ee Name: Colorado Lien Company <br />Address: <br />Phone Number: <br />Fax Number: <br />P.O. Box 767 <br />Rapid City, SD 57709 <br />(605)342-7224 <br />boy-394-1u+tP <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 enclosed. <br />,V 7tN,Ui V Y-'1L~1 <br />Signature of Corporat f icer, OH er, or Designee <br />soli loL <br />Date <br />M 9PERh11'MIASTERDOCUMENTSU-7-AF-O1 <br />