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„ ' <br />i <br />ANNiiAli, FF.F, and REPORT RF,OiTF.ST <br />PERMITTEENAME: Montrose County ~~~~~~~~ <br />PERMIT NO.: M-1992-017 MAR 2 6 2U04 <br />OPERATION NAME: BLM/West End Pit <br />ANNIVERSARY DATE: April 24, 2004 Division of Minert :,~ ~ ~~ <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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 _ _ <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annnal report m to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 161 S. Townsend <br />Montrose, CO 81401 <br />Phone Number: (970) 249-7755 <br />Fax Number: (970) 249-7761 <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 <br />enclosed. <br />_ ~ <br />- tgnatur of C~rp rate Officer, Owner, or Designee <br />Date <br />M;~PERMI71MA57ERDOCUMENTSVv1-AF-04 <br />