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<br /> <br />REC"~~'; . ~ ~~ <br />DEC 13 2004 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Connell Resources <br />M-1999-050 <br />Timnath Connell Pit <br />December 9, 2004 <br />$688.00 (Due on or before your anniversary date) <br />Larimer <br />Division of Minerals & G®elogy <br />According to C.R.S. 34-32.5-116 or C.R.S. 3434-32-116, 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 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 ynnr revised written anneal rennrt and anneal re~{prf 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: Richard Connell <br />Permittee Name: Connell Resources <br />Address: 4305 E. Harmony Rd. <br />Fort Collins, CO 80528 <br />Phone Number: - - ""-(970)'223=31"51 - - - _ <br />Fax Number: (970) 223-3191 <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 />~gnature of Corporate Officer, Owner, or Designee <br />1ar181o~- <br />Date <br />