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d <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Sandco, Inc. <br />M-1986-165 <br />Willow Bend <br />August 27, 2003 <br />$281.00 (Due on or before your anniversary date) <br />La Plata <br />RECEIVED <br />AUG 14 1003 <br />Division ~I Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />-- shwa I-submii the annual fee; a report and map showing the exient -of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anneal report and anneal re nn rt m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David D. Dillon <br />Permittee Name: <br />Address: <br />Sandco, Inc. <br />P.O. Box 4440 <br />Durango, CO 81301 <br />247-1303 <br />Fax Number: <br />r.1 e-rl d <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~. ~~ <br />Signature of Corporate Officer, Owner, or Designee <br />$'S-~3 <br />Date <br />MiPERMITUTASTERDOCUMENTSUI-AF-01 <br />