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III IIIIIIIIIIIII III <br /> 999 <br /> _ANNUAL FEE and REPORT REOUEST <br /> RECEIVED <br /> PERMITTEE NAME: Kerr& Son Trucking <br /> PERMIT NO.: M-1984-043 JUL 3 0 2001 <br /> OPERATION NAME: Jesse Lee Division of Minerals and Geology <br /> ANNIVERSARY DATE: July 25,2001 <br /> ANNUAL FEE DUE: $225.00(Due on or before your anniversary date) <br /> COUNTY: Chaffee <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 /> adequately labeled map 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: Donald R. Kerr <br /> Permittee Name: Kerr& Son Trucking <br /> Address: P.O. Box 1496 <br /> Buena Vista, CO 81211 <br /> Phone Number: (719) 395-2910 <br /> Fax Number: <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. <br /> C.� <br /> Signature of Corporate Officer or Owner <br /> 7 S-01 <br /> Date <br /> \� MAPPER M FrW ASTERDOC UM ENTS/M-AF-02.DOC <br />