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<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 />Rick Hunt <br />M-1982-112 <br />Miller Gravel Pit <br />March 11, 2002 <br />RECEIVED <br />MAR 0 6 2002 <br />Division of Minerals and Geology <br />$688,00 (Due on or before your anniversary date) <br />Elbert <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 showing the extent of current disturbances to affected land, <br />_ _ _reclamation-accomplished-to.date and-during-the-preceding-yeas;-new disturbances-that-are-anticipated-to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for [he beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes dre above elements may since for a written report. <br />Division records indicate the following perminee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gregory D. Thomas <br />Permittee Name: <br />Address: <br />Rick Hunt <br />43160 CR 17-21 <br />Elizabeth, CO 80107 <br />Phone Number: (303) 841-3970 <br />Fax Number: (303) 646-9233 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />Signature of Corporate.Officer or Owner <br />Date <br />provided to [he Division, please provide it <br />Annual Report instructions are enclosed. <br />M iPERM 17\AIASTERD000MENTSVN-AF-OI <br />