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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Seneca Coal Company <br />M-1982-036 <br />Mesa Gravel Pit <br />June 22, 2004 <br /> <br /> <br />JUN 10 TUU4 <br />Division of Mina~als & OaaloBY <br />$688.00 (Due on or before your anniversary date) <br />Routt <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 fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming yeaz, 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 ynnr revised written annual rennrt and annual re nn rt main to this fnrm_ 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: Robert Shevling <br />Permittee Name: Seneca Coal Company <br />Address: P.O. Box 670 <br />Hayden, CO 81639-0670 <br />Phone Number: (970) 276-5206 <br />Fax Number: (970) 276-3014 <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 aze enclosed. <br />igna e of Cor orate Officer, O er, or Design <br />~~~^ ~ <br />Date <br />