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• AV3 ass III I IIIII I IIIIII III <br /> Ct ( ) 10 J <br /> ANNUAL FEE and REPORT REOUEST RECEIVED <br /> PERMITTEE NAME: Moffat County FEB 0 2 2001 <br /> PERMIT NO.: M-1980-248 Division of Minerals and Geology <br /> OPERATION NAME: Lyons Pit No 2 <br /> ANNIVERSARY DATE: February 4,2001 <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: Moffat <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 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 your revised written annual report and annual report map to this form. Please note that an <br /> adeyuaiely labeled mup 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: Dennis Jones <br /> Permittee Name: Moffat County <br /> Address: P.O. Box 667 <br /> Craig, CO 81626 <br /> Phone Number: (970) 824-321 1 <br /> Fax Number: (970) 824-0356 <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. `:o new disturbance - Stockpile Reduction only <br /> No iTiap Necessary <br /> DSXSi nature of Corp rate icer or Owner <br /> 1 R. Jon s Road Supervisor) <br /> //Wo t <br /> Date <br /> M NERMITMASTERDOCUMENTSM-AF-04 <br />