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999 <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEE NAME: Colorado Minerals Recovery Corp. RECEIVED <br /> PERMIT NO.: M-1989-068 OCT 0 1 2001 <br /> OPERATION NAME: Centennial Division of Minerals and Geologp <br /> ANNIVERSARY DATE: September 27,2001 <br /> ANNUAL FEE DUE: $225.00(Due on or before your anniversary date) <br /> COUNTY: San Miguel <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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished�°' date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming yeaf, reclamation that will be performed during the coming year, the dates for the <br /> beginning 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 suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Michael Moore <br /> Permittee Name: Colorado Minerals Recovery Corp. <br /> Address: P.O. Box 326 <br /> Nucla,CO 81424 <br /> Phone Numi)er. (970) 864-781t/z _ <br /> _ <br /> Fax Number: <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 /> 0 <br /> Sip ature of Corporate Officer or Owner <br /> y - � 7- a � <br /> Date <br /> M WERWRNIAS"-ERDOCUMENTS/M AF 02.DOC <br />