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• III IIIIIIIIIIIII III <br /> � 999 <br /> 4. - . <br /> ANNUAL FEE and REPORT REOUEST RECEIVED <br /> PERMITTEE NAME: Peck Inc. JUL 0 9 2001 <br /> PERMIT NO.: M-1992-049 Division of Minerals and Geology <br /> OPERATION NAME: Peck Pit <br /> ANNIVERSARY DATE: July 13,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Ouray <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 accornplished-to date-arid-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 annual report map to this formrevised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Charles R. Ponchak <br /> Permittee Name: Peck Inc. <br /> Address: P.O. Box 219 <br /> Ouray,CO 81427 <br /> Phone Number: (970) 325-4703 <br /> Fax Number: <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 ng with your written report and ap. Annual Report instructions are <br /> enclosed. s ��'���� � 'I'A" <br /> Signatur orporate Officer or Owner �20 <br /> 7 a37 <br /> Date <br /> M:WERNInWASTERD000MENTSW-AF 01 <br />