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~~~~ <br />.- <br />rca <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ANNTJAi, FF.F. and RF,PnRT RF.nTTFST <br />~/Mineral County <br />l~ M-1984-097 <br />Mineral County Pit <br />June 28, 2006 <br />REC~~:9~~ <br />/1'l~L- <br />~ ~~.JUN 0 52006 <br />"' Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Mineral <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'duting the preceding year; new 3isturbane`es that aie anhctpated fo <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 />Pease attach ynnr revised written annual red nrt and annnal re nn rt ma_n~tn this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice far a written <br />report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Leslie Cahill <br />Permittee Name: Mineral County <br />Address: P.O. Box 70 <br />Creede, CO 81130 <br />.-~ <br />Phone Number: (719) 658-2360. <br />Fax Number: (719) 658-2931 <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 <br />enclosed. <br />~~~~~/ <br />Signature of Corporate Officer, Owner, or Designee <br />~i ~~~6 <br />Date <br />M:~PERMITUMASTERDOCUMEMSNI-AF-04 <br />