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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Bumgarner Ranches <br />M-1980-027 <br />Brig Pit <br />February 2, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Grand <br />Fi~CEl1/E® <br />JAN 3;.1 Y003 <br />Division of Minerals and Geology <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 tfie ex--'dent 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 your revised written annual rennrt and annual re nn rt man to this form. Please note that an <br />adequately labeled map that clearly 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: Gary Bumgarner <br />Permittee Name: Bumgarner Ranches <br />Address: P.O. Box 186 <br />Kremmling, CO 80459 <br />_ __ _Phone;Numberr -- (970)724-9224 - - _ - <br />Fax Number: <br />Tf 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 />re of rp9 ate er, Owner, or Designee <br />9 ~t'~3 <br />Date <br />M 1PERMITVNASTERDOCUMENTSN~I-AF-OI <br />