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<br />PERMITTEE NAME: <br />ANNUAL FEE and REPORT REQUEST <br />T M Russell & R C Barger <br />iii iiiiininiu iii ~ <br />RECEIVED <br />SEP 2 0 2001 <br />Division of Minerals and Geology <br />PERMIT NO.: M-1980-037-HR <br />OPERATION NAME: Ingleside Quarry <br />ANNIVERSARY DATE: October 1, 2001 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />According [o 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 />- -- ----shall submihthe 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 yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual resort map to this form. Please note that an <br />adequately labeled rnap 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: Delores Barger <br />Permittee Name: T M Russell & R C Barger <br />Address: 11585 N. Hwy. 287 <br /> LaPorte, CO 80535 <br />Phone Number: (970) 493-7323 <br />Fax Number: <br />If you have additi onal comments and/or information that should be provided to the Division, please provide it <br />below or attach it t o this form along with your written report and map. Annual Report instructions are enclosed. <br />Sign tore of Co ~rat~i er or Owner <br />Date <br />M:~PERMI I~MASTERDOCU MENTSVN-AF-01 , <br />