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.- <br />~~~~~~~® <br />SEP 1 5 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Grant Bros Const Ltd <br />M-1981-068 <br />Loesch Pit <br />October 27, 2003 <br />Oirision ~f Minerals end Geofegy <br />$688.00 (Due on or before your anniversary date) <br />Garfield <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />reclamation 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 ym~r revised written annual rennrt and annual re~rt,_ maP to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffrce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dan or Doug Grant <br />Petmittee Name: Grant Bros Const Ltd <br />Address: P.O. Box 1027 <br />_ ._ __ Phone Number: <br />Fax Number: <br />Basalt, CO 81621 <br />{970) 927-3201 <br />(970)927-8386 <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 enclosed. <br />~.~-e~~.~t....~ <br />Signa of Corporate Officer, Owner, or Designee <br />9-i3-off <br />ate <br />M iPERM1TN1A5TERD000MENTSVA-AF-01 <br />