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V <br />ANNiIAi, FF,F, and RRPfiRT RF.(liiRST <br />PERMITTEE NAME: Nordyke Construction, Inc. REr'~wED <br />PERMIT NO.: M-1994-114 SEp .0,a ZoQ3 <br />OPERATION NAME: Nordyke Pit No 2 <br />piuision ~f Minerals end 68 <br />ANNIVERSARY DATE: October 5, 2003 ' <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Custer <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 I <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 anm~al rennrt and annual report main to 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: Arthur L. Nordyke <br />PermitteeName: Nordyke Construction, Inc. 57680 Highway 69 S. <br />Address: P.O. Box 29 <br />Westcliffe,CO 81252 Fiestcliffe, Colo 81252 <br />" PhoneNumber~ (71'9) 783-276L`" -' - - -~" -' - ~- ~~~~~ - --- <br />Fax Number. (~II#jFl83~I;3~9 no fax# <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 />~ture~Corporate~r, er, o Designee <br />September 5,2003 <br />Date <br />M:\PERMITMASTERDOCUM ENTSUI-AF-01 <br />