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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Fesco,Inc. <br />M-1992-054 <br />Ignacio Pit <br />July 14, 2002 <br />RECEIVED <br />JUL 2 5.2002 <br />Qlvlalon of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />La Plata <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 />- -shall subrrlit-the-annual-fee,,-a report-and-map-showing-the extent-of-current-disturbances-to-affected-land,- --- <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that wilt 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 your 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 suffice for a written report. <br />Division records indicate the following pernu[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Walter Bump <br />Permittee Name: <br />Address: <br />Fesco,Inc. <br />P.O. Box 1895 <br />Broomfield, NM 87413 <br />Phone Number: (505) 326-2985 <br />Fax Number: (505) 326-2987 <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 instmctions are enclosed. <br />W Rul... <br />Signature of Corporate Officer or Owner <br />Date <br />M iPERM77N1ASTERD000MENTSNI-AF-01 <br />