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~ IIIIIIIIIIIIIIIIIII ~ <br />~~ <br />ANNUAL FEE and REPORT REQUEST <br /> RECEIVED <br />PERMITTEE. NAME: J-Rude, Inc. <br />PERMIT NO.: M-1989-009 MAR 1 3 2001 <br />OPERATI01`! NAME: J-Rude Inc Division of Minerals and Geology <br />ANNIVERSARY DATE: March 17,2001 <br />ANNUAL FEiE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Prowers <br />According [e C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, each year, on [he 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 [ti^r will be performed during the coming yeas the dates for the <br />beginning of active operations, and the date active cperat~nnF ceased for the year, if any. <br />Please attach your revised written annual repot! end annual report map to this form. n/ease note thnt an <br />adequately labeled map that clearly delineates and includes [he above elements may sujfrce for n x•rhten <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact. .Rudy Torres <br />Permittee Name: J-Rude, [nc. <br />Address: 1750 CR HH <br />Phone Number: <br />Fax Number: <br />If you have z.dditional 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 <br />enclosed. <br />'~7 <br />~ ~,"- ~~ <br />J <br />Signature Corporate Officer or Owner <br />~o~i - y / <br />Date <br />Lamar, CO 81052 <br />(719)336-7361 <br />M.~PERM IMIASTE:RDOCUA'IENTSV.1-AF-01 <br />