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RECE1.1/E~ <br />-.. <br />,.. JUN 0 g <br />2003 <br />' ~ :~'NIIAt. FL~g{~$kPjj~'rRF.AI3R T ®irlsion r.f Minerals and Geology <br />PERMITI'EE NAME: Ttte C.~Uagoa Corporation . . <br />PERht[T NO,: M~194&AS2 , <br />,.., ... <br />Ol'ERATIUN NAME;. " Cortger Harvestl8g Area <br />... <br />ANN'IYFRSARY DRTE: `.!tees. S; 2003 : . <br />ANNUAL .FEE: DUE:: S38I:!!6 (Bete oe:or before year arnivcxattry date) <br />CO(1N3'1': -Gygahoe. <br />According; to C.R,,S. 34-32.5-116 or C.R.S. 54-32-116; each year, on the snntversaty date of thn permit, as operator <br />shaA ' submtt~ the annual foe, a .report sod -map Ehoaving the extent of cutrertt :diatttrbanees to atPeetad tend, <br />,. <br />-.; ieci~i on ~CC~i$}[edTO~.d-aEc end"durrna itu `ptxe~n?g ymr, netv;'dt'sw t ate enact ad to ocsut <br />. during the upcomaag yew, teclarnation that well be:perfurtned dunaE thacomrttg year, the dates for the beginning <br />of active operations, and'the date active operatons ceased for the year, ifany . : <br />_ pleat Arranh ~nnr rovtiaod yyrlit se~nnest~enrt aeA nen~sl re~,ri m~ M~t6i. rnm+- P/2a58 nOt¢ Mat an <br />adequately labeled map that clearly delineates and includes the above elements +nay suffree for a written report. <br />Division records indicate the following parmittee cotttact infomration. Pleast:.trotify and make any necessary <br />changes: <br />Permittee Contact: Robert M. Gatiegos, Jr. <br />Permittee Name: The Gallegos Corporation <br />Address: P.O. Box 821 <br />Vail, CO 51659 <br />Phone Number: (970) 92ti-3737 <br />ax urn r: t47bj"4~d-~~r <br />If you have additional comments and/or information that shoulfl be provided to tht 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-~-3 <br />Date <br />M:~PERMIrJIASTfRDOCVMEIITSWAF-0~ <br />E/E at3ed `ZZ:ZI EC-4L-~(eyd <br />~p~ V~ ~~©Rf,~~QN <br />.A"C.', Iii. <br />~( <br />`•LZLE8Z60L6 :d~o0 so6eZZe0 eyl :Rg »eg <br />