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t/ <br />RECEIVED <br />OCT 2 & 2003 <br />Division of Minerals & Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Bridalveil Construction <br />M-2001-054 <br />Bridalveil <br />October 28, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Ouray <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 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 re~nrt and anneal repnrf ma0.(n this form- Pease 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: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br /> <br />Yl G t~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 enclosed. <br />/ ~/ ~- ~ ,ll ? , <br />Signature of Corp~oryate(~) t/~r, Owner, or Designee <br />~~ ~ / ~ C/~.,J <br />Date <br />Emery L. Olin <br />Bridalveil Construction <br />1796 N. Main St. <br />P.O. Box 1412 <br />Ouray, CO 81427 <br />(970)325-4674 <br />M:~PERMITUAASTERDOCUMENTSUI-AF-01 <br />