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~70) 870-6290 <br />Jun 15 O1 12:30p • <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Connell Resources, Inc. <br />M-1987-164 <br />Camilletti Pit <br />June 18,2001 <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />p.2 <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 disttubances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during tJte 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 man to this form. Please Hole that an <br />adequately labeled Wrap that clearly delrneares and includes the above elements Wray since jot a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Tony Connell <br />Permittee Name: Connell Resources, Inc. <br />Address: P.O. Bax 882590 <br />Steamboat Springs, CO 80488 <br />Phone Number: (970) 870-0300 <br />Fax Ntunber: (470) 870-0290 <br />If you have additional comments andlor 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 />Sigps re of Corporate Officer or Owner <br />~sf ~ <br />Dale <br />