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cis ~- <br />RECEIVED <br />PERMITTEE NAME: James H & Kathleen H Ross MAR 3 ~ 2~~4 <br />PERMIT NO.: M-1990-134 Division of Minerals & Geology <br />OPERATION NAME: Ross Pit <br />ANNIVERSARY DATE: April 1Q, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each vear, on t~ anniversary_date of the.permit,-an-operator <br />-` `sha~it 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 your revised written annnal rennrt and annnal rennrt mDp fn 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: Bud Bower <br />Permittee Name: James H & Kathleen H Ross <br />Address: 595 Taylor St. <br /> Craig, CO 81625 <br />Phone Number: (970) 824-2793 <br />Fax Number: (970) 824-9410 <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 />Signature of Corporate Officer, Owner, or Designee <br />_~_~y, <br />Date <br />~(~ N~t.,J C~1 ~ l urbaac~s <br />(~~- ~Cc(W mq trCh T o <br />