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:~ <br />s, .. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t-~~ ~P i <br />ANNUAL EE and REPORT REQUEST <br />~.a Plata County <br />~-M-1977-575 <br />Marvel Pit <br />Apri122, 2007 <br />~~~~~~ <br />~~ .. <br />~' ~ 2001 <br />Diy~sion o, n,, .a <br />/Mining and Saf ty on' <br />$$281.00 (Due on or before your anniversary date) <br />La Plata <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 />operat--or~aIl submit-f~aiutuat-fee,-a-report-and-map-showing-the-extent of_curreut_disturbancea to_affected,_ <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, 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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated mau. If no new disturbances or reclamation have occurred during the arevious vear and no <br />new chances to the previous year's map are necessary, then no new map is required, provided that the <br />Ouerator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: J' avis <br />Permittee Name: La Plata County <br />Address: 1060 Main ., te. 104 <br /> <br /> <br />Durango, CO~ ~~/,(~7, ~} L\ ~_5~ <br />Phone Number: (970) 3 72 <br />Fax Number: (970) 3 86 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below Qr attach it to tly~ foXfr1^41ong with your written report and map. Annual Report instructions are <br />l4igna'fiue of Corporat2r9ffice~Owner, or Designee <br />,23~6"~ l/// <br />Date <br />per.. <br />M:~PERMI'I\MASTERDOCUMENTSUS-AF-0d <br />