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:~ <br />t <br />~~ <br />F~EC'~Pl~~"~, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Connell Resources, Inc. <br />M-1987-164 1..~ m <br />Camilletti Pit <br />June 18, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />JUN 1 2005 <br />Dfuision o1 A'.i.,,;mt~ & Raulogq <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 operator <br />shall submit the annual fee, 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 ynnr revised written anneal re~nrt and anm~al re~nrt main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Art Momssey <br />Permittee Name: Connell Resources, Inc. <br />Address: P.O. Box 882590 <br />Steamboat Springs, CO 80488 <br />Phone Number: (970) 870-0200 <br />Fax Number: (970) 870-0290 <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 />Si lure of Corporate fficer, Owner, or Designee <br />~~s~os- <br />Date <br />