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<br />RECEIVED <br /> <br />APR 1 1 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Routt County <br />M-1979-058 <br />Funk & Hooker Pit <br />Apri126, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />f]ivisian of Minerals and Geology <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 />Qperator.shalLsubmit_the_annual fee, a-report-and map showingthe extent-ofcurrent-di8turbances f"o 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 attarh vm~r revised written anm~al re~nrt and annual rennrt man to this form. Please note thal an <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 />PetTnittee Contact: Paul H. Draper <br />Permittee Name: Routt County <br />Address: P.O. Box 773598 <br />136 6th St. <br />Steamboat Springs, CO 80477 <br />Phone Number: (970) 879-0831 <br />Fax Number: {970) 879-3992 <br />~ea~k.av Q. McLa,ttghl,rl, Ass3.Cdt~F.vt~. <br />C9~o) 8~0 533- V <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 />Signature of <br />or Designee <br />~~ tac~3 <br />Date <br />M:~PERMINIASTERD000M ENTSU~I-AF-04 <br />