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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Schmalz Construction Ltd. <br />M-1984-069 <br />Schmalz Const Pit <br />July 12,2002 <br />$281.00 (Due on or before your anniversary date) <br />Gunnison <br />RECEIVED <br />JUL 1 2 2002 <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_showin~the_extent of_current disturbances_ to affected .land,. _ <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that aze anticipated [o 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 report and annual resort mau 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: Fred Schmalz <br />Permittee Name: Schmalz Construction Ltd. <br />Address: 720 S. 8th St. <br />P. O. Box 1 t05 <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-2014 <br />Fax Number: (970) 641-4231 <br />If you have a ditional comments and/or information that should be provided to the Division, please provide it <br />below o ttach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />of Corporate <br />L.. <br />Date <br />M:IPERMI'71MASTERD000MENTSIM-AF-O7 <br />