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<br /> <br />R~C'E~l~~Q <br />APR 16 2004 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gary Boyce <br />M-1985-085 <br />Rancho Rosado <br />April 17, 2004 <br />$688.00 (Due on or before your anniversary date) <br />Saguache <br />Division of Minerals & Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the- anniversary date of the permit, an operator _ <br />shall "submit the annual I`ee, a report and map showing the extent of current disturbances to affected land, <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 ymrr revised written annnal red nrt and annual re~nrt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gary C. Boyce ~ <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Gary Boyce <br />17425 CR 66T <br />Moffat, CO 81143 <br />(719)256-4613 <br />(719)256-4318 <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 />~ re f orate fficer, Owner, or Designee <br />/f ~'l.~~rG \O~/ <br />Date <br />