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f <br />~r <br />V <br />~~C~ <br />C~~ <br />l~ ANNiiAi. FF.F, and RF.Pt1RT RF.f;7iTF.ST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Mesa County <br />l~ M-1983-216 <br />Lumsdea Canyon Pit <br />June 11, 2006 <br />RECE~~,ED <br />~~ JUN 0 5 2006 <br />'' ~~~~8~an of Minerola and 6eologr <br />$281.00 (Due on or before your anniversary date) <br />Mesa <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 Suring the upcoinirig year; reclamation tfiafwiil-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 err revised written anm~al report and annnal report map_tn this form- Please note that 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 />Permittee Contact: Bud Thompson <br />Permittee Name: Mesa County <br />Address: 1000 S. 9th St. <br /> P.O. Box 20000-5025 <br /> Grand Junction, CO 81501-5025 <br />-Phone Number: (470) 244-1&1-1 -- - ~ - - -° --° - - <br />Fax Number: (970) 256-1411 <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 thJ'~ form along with your written report and map. Annual Report instructions are <br />enclosed. / / <br />Sign 're of Cbrporate Off(ker, Owner, or Designee <br />M:~PERMITIMASTERD000MENTSUI-AF-04 <br />