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A~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />,q~ ~ ~-P T <br />ANNUAL F1~E and REPORT REQUEST <br />~ Mesa Couuty <br />/M-1983-216 <br />Lumsden Canyon Pit <br />Juue 11, 2007 <br />RE~~11~~D <br />~ JUN 112001 <br />division of Keclamauon, <br />Mining and Safety <br />$$281.00 (Due on or before your anniversary date) <br />Mesa <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 />_ = operator shall submit iFie ann~ fee, a report an3-_m_ap showing the extenf of current di§tui~ances to of ecied <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <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 report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinc the previous year and no <br />new chances to the previous Year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: Bud Thompson <br />Permittee Name: Mesa County <br />Address: 1000 S. 9th St. <br />~JJcw~"I ~/V~X~-I <br />~(,P,sa n~ ~.lofi.c,1.~~~5 <br />P.O. Box 20000-5025 <br />Grand Junction, CO 81501-5025 <br />Cs~-~c~TC~-' . Ct~ g ~ S~ <br />Phone Number: (970) 244-1811 q76 • a'~`1 • ~~ ~7 <br />Fax Number: (970) 256-1411 ~ 7~ • ~.5 • ~ ~ 7 I <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 <br />enclosed. <br />Sire of orate Officer, Owner, or Designee <br />5~~3~0~ <br />Date <br />M:~PERMIr4MASTERDOCUMENTS~AI-AF-04 <br />