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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />ITEC Environmental Colorado, Inc. <br />M-1983-141 <br />Cash & Who Do Mines <br />September 7, 2002 <br />RECEIVED <br />SEP 0 6 2002 <br />Division of Minerals and Deology <br />$225.00 (Due on or before your anniversary date) <br />Boulder <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 <br />operatoi shall s~ t the annual-fee, a report and map showing the extent of current-disturbances to affected <br />land, reclamation accomplished to date and during [he preceding year, new disturbances that are anticipated [o <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual resort man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark A. Steen <br />Permittee Name: ITEC Environmental Colorado, Inc. <br />Address: 591 Grand Cascade Way <br />Phone <br />Fax Number: (303) 449-5352 <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 instmctions are <br />enclosed. <br />a~ ~"r`~^ <br />Signature of Corporate Officer, Owner, or Designee <br />i.~M~.E2?Jl..5~ a-tx~a-. <br />Dale <br />Grand Junction, CO 81501-6882 <br />M:~PER MITNIASTERDOCDM ENTS/M-AF-02. DOC <br />