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t/ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL PEE DUE: <br />COUNTY: <br />Gary Boyce <br />M-1985-085 <br />Rancho Rosado <br />April 17, 2003 <br />RECEIVED <br />APR 16 2003 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Saguache <br />According to~C.R:S: 34=332:5-116~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 ynnr revised written annual rennrf and annnal report ma= to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />~ermittee Contact: Gary C. Boyce <br />'Plermittee Name: <br />t?Cddress: <br />Gary Boyce <br />17425 CR 66T <br />-)3ox-~ <br />Moffat, CO 81143 <br />Number:--(719) 256-4613 - - --~---_ _ <br />~x Number: (719) 256-4318 <br />NU 3olG ` <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 />Si ~ rp ffic r, Owne ror Designee <br />i_~gn~i~ ~03 <br />Date <br />M9PFRM ITVv1ASTERD000M FNTSVA-AF-01 <br />