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III IIIIIIIIIIIII III 40 <br /> 999 RECEIVED <br /> AUG 2 0 2001 <br /> ANNUAL FEE and REPORT REOUEST <br /> DIVISIOfI of Minerals and Geology <br /> PERMITTEE NAME: United Companies of Mesa County, Inc. <br /> PERMIT NO.: M-1979-205 <br /> OPERATION NAME: MMM/Chambers Pit <br /> ANNIVERSARY DATE: August 15,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Garfield <br /> According to C.R.S. 34-32.5-1 16 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 the coming year, the 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 report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: -Paul-McGehee-- Richard Johnson <br /> Permittee Name: United Companies of Mesa County, Inc. <br /> Address: P.O. Box 3609 <br /> Grand Junction,CO 81502 <br /> Phone Number: (970) 243-4900 <br /> Fax Number: (970) 243-5945 <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 Corporate Officer or Owner <br /> �rn uz� t5 11 <br /> Z� <br /> Date-) <br /> M:IPERMff V.IASTERDOCUMENTS\M-AF-01 <br />