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iiiiiiu iii • <br /> ANNUAL FEE and REPORT REOUEST <br /> PERMITTEE NAME: Town of Crested Butte RECENED <br /> PERMIT NO.: M-1981-002 JUN ' 1 2001 <br /> OPERATION NAME: Mountain View Pit <br /> Division of Minerals and Geology <br /> ANNIVERSARY DATE: July 15,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <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 art <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 permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: William V.Crank <br /> Permittee Name: Town of Crested Butte <br /> Address: 507 Marroon Ave. <br /> P O Box 154 <br /> Crested Butte,CO 81224 <br /> Phone Number: (970) 349-5338 <br /> Fax Number: (970) 349-6626 <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 /> en osed. \ <br /> Lt <br /> Signature of CoA,; te Officer or Owner <br /> S o <br /> Date <br /> M WERMnVAASTERDOCIFIENTSV.7-AF-04 <br />