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~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/ANNUAL FEE and REPORT REQUEST <br />r~/Bridalveil Construction <br />M-2001-054 <br />Bridalveil <br />October 28, 2006 <br />~~~ocr p s zoos <br />tiDivision of Reclamation, <br />Mining and Safety <br />$281.00 (Due on or before your anniversary date) <br />Ouray <br />/ /rU~ ~ <br />!d ~7'~ <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 <br />---- shall-submit-the-annual -fee, a-re-port-and-map-sho~uirg-the extent-of-current disturbances-to-aff cted-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 annual resort and annual resort maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chanties to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Emery L. Olin <br />Permittee Name: Bridalveil Construction <br />Address: 1796 N. Main St. <br />P.O. Box 1412 - <br />Ouray, CO 81427 <br />Phone Number: (970) 325-4674 <br />Fax Number: ~l ~ O ' ~~ Z S~_ ~ ~7 y <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 />~~~' <br />Signature of Corporate Officer, Owner, or Designee <br />~D/2~/a~ <br />Date <br />