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• III IIIIIIIIIIIII III <br /> ANNUAL FEE and REPORT REOUEST <br /> RECEIVED <br /> PERMITTEE NAME: Park County <br /> MAR 2 0 2001 <br /> PERMIT NO.: M-1980-019 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Hall Gutch Pit <br /> ANNIVERSARY DATE: April 1,2001 <br /> ANNUAL FEE: $281.00(Due on or before anniversary date) <br /> COUNTY: Park <br /> According to C.R.S. 34-32.5 or C.R.S. 34-32-116,each year. On the anniversary date of <br /> the permit, an operator shall submit the annual fee,a report and map showing the extent <br /> of current disturbances to affected land, reclamation accomplished to date and during the <br /> preceding year, new disturbances that are anticipated to occur during the upcoming year, <br /> the dates for the beginning of active operations, and the date active operations ceased for <br /> the year, if any. <br /> Please attach your revised written annual report and annual report may to this <br /> form.Please note that an adequately labeled map that clearly delineates and includes <br /> the above elements may suff ice for a written report. <br /> Division records indicate the following permittee contact information. Please verify and <br /> make any necessary changes: <br /> Permittee Contact: <br /> Permittee Name: 1onoWil <br /> Address: 0K 1 <br /> 'Fa1 R PLAL11, CD•y 60440 <br /> Phone Number: q19 B3lo - 970 <br /> Fax Number: 7/4 636-42-7 <br /> If you have additional comments and/or information that should be provided to the <br /> Division,please provide it below or attach it to this form along with your written report <br /> and map. Annual Report instructions are enclosed. <br /> Signature of Corporate Officer or Owner <br /> Date <br />