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<br />PERMITTEE NAME: Montezuma County <br />PERMIT NO.: M-85-031 <br />OPERATION NAME: Mancos Gravel Pit <br />ANNIVERSARY DATE: <br />"': <br />~; . ~ f~`~ <br />` ~ <br />a <br />PORT r \ i%~ <br />M. <br />~~: <br />1~u". . <br />i; . <br />RECEIVED ~'~~ - <br />.:,. <br />- MAY 1 7.2002 - <br />~,.. <br />,.r <br />Division of Minerals and Geology <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: (o $g ~ <br />COUNTY: Montezuma <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />report to this annual report. Nofe that a written report is not necessary if the man addresses a!1 the <br />items listed in the attached instructions concerning mining disturbance and reclamation update <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: L1 ~y ~ ~v e. ~.'G1` Company: c,1~ ems ~rnn C'~'r~.-.~ YGf <br />Address:: ~ ~s' ~ctt'~7 ~«!u !~t S Phone No.: (~i')c~) ~ (~ ; . ~ ~e ~ to <br />~~-he<L ~~ c • ~ ~ 3 ~. / Fax No.: ! ~ 7[~ ) ~G~.S ~ ~.~a- <br />`~ ~ - <br />ignature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:\DNRML\MASTERD\M-AF-04" - - - - -- -- ~~ ~\`~ _ ~~ <br />' o n ~ 5 N No 5 .g <br />