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JUN-20-01 11:23AN FROM-Colorado:rlon of Nlne-lll IIIIIIIIIIIII III3567 . T-665 P 003/003 F-I SS <br /> 999 <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: Rudy Rudibaugh JUN 2 9 2001 <br /> PERMIT NO.: M-1995-057 Division Of Minerals and Geology <br /> OPERATION NAME: Rudibaugh Pit <br /> ANNIVERSARY DATE: March 7,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date)/yo(l) <br /> COUNTY: Gunnison <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 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 pemuttee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Rudy Rudibaugh <br /> Peratittee Name: Rudy Rudibaugh <br /> Address: 711 Ranch <br /> Perlin, CO 81239 <br /> Phone Number: (970)641-0666 <br /> Fax Number: (970) 641-0666 <br /> If you have additional cormnents 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 /> enclos <br /> ignatur orp&dte OfBc wrier <br /> I <br /> Date <br /> K1 ERM IMAS rERDaCUMENISW-A F.0I <br />