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RECEIVED <br />DEC 0 8 2(Ip5 <br />Division of Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />M J Cadgene <br />M-1983-158 <br />Cadgeue Pit <br />January 30, 2006 <br />$281.00 (Due on or before your anniversary date) <br />Montrose <br />~rm ~ <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />S};a}}-submit-the-annual-fee-a-:eport~nd-msp-showing=the-extent-of--current-disturbances-te-affected-land,-- -I <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming yeaz, 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 ymrr revised written anmial report and annual rep nn rt maT 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: M. J. Cadene <br />Permittee Name: M J Cadgene <br />Address: P. O. Box 10 <br /> Redvale, CO 81431 <br /> ~~ ~~~ <br />Phone Number: (970) 327-4694 <br />Fax Number: (970) 327-4224 <br />I£ 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 /> <br />Officer, Owner, or Designee <br />'a6 <br />Date <br />