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,,,_<.. <br /> <br />F3ECEIVE® <br />JUN 2 6 20D3 <br />Division of Minerz!s and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Mineral County <br />M-1984-097 <br />Mineral County Pit <br />June 28, 2003 <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 pemut, 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 ymrr revised written annnal r~nrt and anmral re nn rt ma~,jn this form- pjease 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: Leslie Cahill <br />Permittee Name: Mineral County <br />Address: P.O. Box 70 <br />Creede, CO 81130 <br />Fhene•Number:-(=7-19)•655-2-360 <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 />M:~PERMITNIASTERDOCUMENTSV.I-AF-04 <br />