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ANNUM, FEF, and REPORT RF:OUIiST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Rudy Rudibaugh <br />NI-199-057 <br />Rudibaugh Pit <br />March 7, 2002 <br />RECEIVED <br />MAR U 7 2002 <br />Division of Minerals ani Geology <br />$281.00 (Due on or before your anniversary date) <br />Gunnison <br />According to C.R.S. 34-32.5-I I b or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing die extent of current disturbances to affected land, <br />mclamaticn 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 report and annual report map [o [his form. Please note that an <br />adequately labeled map that clearly delinecues and includes dte ubore elements nwv suffice for u nvitten report. <br />Division records indicate the following permittee contact inlbnn:uion. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rudy Rudibaugh <br />Perrnittec Name: Rudy Rudibaugh <br />Address: 7] 1 Ranch <br />Phune Number: <br />Fax Number. <br />Partin, CO 81239 <br />('970) 64I-OG66 <br />(970) 6-11-0666 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />helow or attach it to this form along with your written report and map. Annual Keport instructions are enclosed. <br />1,~, <br />1SStg¢arirr~L ,orp©rate Officer-er=B ncr <br />Date <br />ncw«en+mnt,+si~caoocum tN~rsnn-nr.m <br />