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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ern ~ hh~ <br />5 ~~ <br />RECElVEI~ <br />JUL 2 7 2005 <br />Division of Minerals antl Geolaey <br />Stone Cliff Investments, LLC <br />M-2003-002 <br />Ghost River Gravel Pit <br />August 11, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Huerfano <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 operator <br />reclamation accomplished to date and during the preceding year, new disturbances that are 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 operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anmial re~nnrt and anneal re nn rt 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 the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Steve Melvick <br />Permittee Name: Stone Cliff Investments, LLC <br />Address: ,2o MaSL3fie- Iq'trt`~ <br />G/ODAI~tNO ~i~x.r'c.- ~ CD - ~oF163 <br />Phone Number: <br />Fax Number: <br />~tR- 68'b- `lofro <br />~~ y - 6 86 - X08/ <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 />Signa r of Cor orate Officer, Owner, or Designee <br />T/o,l/ <br />Date <br />