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1 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />San Juan County <br />M-1990-070 <br />Eureka Gravel Pit <br />July 5, 2002 <br />I~ <br />RECEIVED <br />JUL 18 2002 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />San Juan <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 <br />operator-shall-submit-the-annual fee, a-report and-map-showing the-extent of-current-disturbances-to affected - -- <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 vour revised written annual report and annual report 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 <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessazy <br />changes: <br />Permittee Contact: Louis K. Girodo <br />Permittee Name: San Juan County <br />Address: 1512 Greene St., Box 466 <br />Silverton, CO 81433 <br />Phone Number: (970) 387-5772 <br />Fax Number: (970) 387-5772 <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 [his form along with your written report and map. Annual Report instmctions are <br />enclosed. <br />tgnature of Corporate Officer or Owner <br />/- 0~2' <br />Date <br />M:~PERMI7 VNASTERDOCUMENTSN1-Af-04 <br />