Laserfiche WebLink
i` <br />ANV(':11. FF.F: and NFPOR'I' NF.OI'ES1' RECE~VF~ <br />I'I:Rhtl'1"I'IiG NAI\11.: Guruticun ('aunty ACUIG./2C5 2006 <br />PIiItM111l' \O.. :. ~I-1991-I(W ~Utvls'On of keclamaunt+, <br />Manny and S~ib~ty <br />l)PI•.RA'IlON NAM11L•: \fcolas IHt <br />r1NNIVI+Rti:1Rl' U:\'I'I•.: tieptcmher 17.2006 <br />ANNI'A1 fhlf I)tlh 0281.00 (Doc on or before your anniversary dote) <br />('O1'N'fY: Gunnison <br />r\ccordtng to l'.f(.S. 34-32.5-I Ib or ('.R.ti, 34-32-I IG, each year, on the anniversary date of the pcrnut. an <br />uprtahx shall submit the annual fee, a report and mop showing the r.~tenl of cwrciu disauh:uu~rs ur al7cacd <br />land. rcclamahon accontpluhed to date and duning the preecdutg year, new dtswrbances that arc anurgtatcd tr. <br />occur durng the upconung year, rcclamahon that wdl he pcrlitrmed during the coming year, the dates tix the <br />beginning ufa~uvc upcmtions, and the dote acnac opcrnuuns erased fix the year. tl am. <br />Please attach your revised wrlitcn annual rcaurt and annual rcnort mao to this form P/ca.,r nutc• thu! an <br />arlrquulrlr Lrhrlr•d mu/+ that rlrruA drlineulr.+ acrd iucludc•.~ the ahurr rlc•mcatc area .tu/Jirc lnr u u•rirtrn <br />r, •/curl <br />Ihvtsum records indicate the fullowinl; permitter contact intitrmation. Plcasr verify and make any necessary <br />changes: <br />I'rrmittcr Contact: (ytarlrnc ('rushy <br />1'rrmittrcNamc: (iunnison('uunty <br />rWdress: XlI Rto(:mndr <br />(iunmsctn. CO 81230 <br />phone Number. (9711) b•11-IIU~W <br />Fax\umher (9701(r-(1-X120 <br />If you have additional comments and4tr mli)rnt:anal that should he provided to the I)ivtsum, plcua pnnadc n <br />below or attach it to this lorm along wnh your wrutrn report and map. Annual Kcport instructions are <br />cncluscJ. <br />11 ~~ ~'~_rn~,'!_, <br />~--~-_ Lf_i~_..... _ <br />Sf taturc ot•('ot3xxatc Ofticcr. OwncV-. ur Ucsigncc <br />`;1111-! :, <br />I)atl' <br />9'1'XMI I :N A.I I1'NIRR 1'M P,IV 11•~\I-n~Lr <br />