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<br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />PERMITTEE NAME: Louis M. Wyman JUN 0 4 2002 <br />PERMIT NO.: M-1983-037 _ <br />OPERATION NAME: Wyman Pit Division of Minerals and Geology <br />ANNNERSARY DATE: May 31, 2002 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Routt <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 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 [he coming year, [he 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 reuort and annual resort map 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 />_ _ <br />Permittee @~F: man ~ ~ - ~ - ~1 ~/~ ~--.~_ <br />Permt[tee Name y Louis M. Wyman <br />Address: P.O. Box 278 <br />Craig, CO 81626 <br />Phone Number: (3Q3) 824-6431 <br />Fax Number. <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 />Signature of Corpor e fficer or Owner <br />"~ ~O~-~ <br />Date <br />M:~PERMnN1ASTERD000MENTSVN-AF-01 <br />