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RECEIVED <br />ANNUAL FEE and REPORT REQUEST <br />NOV 0 4 2002 <br />PERMFfTEE NAD4E: Farmers Construction, Inc. Division of Minerals and Geology <br />PERMIT NO.: M-1995-038 <br />OPERATION NAME: Spor Pit <br />ANNIVERSARY DATE: October 30, 2002 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: San Miguel <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />shall_submit_the_annual_fee,..a._reporr-and_map showing-the-exten~of-current-disturbances to -affected-]and, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze 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 operation:;, 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~map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Regina Farmer <br />Permittee Name: Farmers Construction, Inc. <br />Address: 37418 Hwy. 145 <br />Redvale, CO 81431 <br />Phone Number: (303) 327-4316 <br />Fax Number: (970) 327-0350 <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 />rgnature of Corporate Officer, Owner, or Designee <br />~~ •- 0'd~ <br />ate <br />M:IPERM ITN~IASTERDOC@AEMSVN-AF-01 <br />