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,,~- o~ RECEIVED <br />FEB 17 2004 <br />ANNTTAi, FF.F, and RFP(TRT RF.nTTFST Division of Minerals & Geology <br />PERMITTEE NAME: Warren & Sally Wilcox dba Gunnison Gravel & Eartbmoving <br />PERMIT NO.: M-1978-305 <br />OPERATION NAME: Dickerson Pit <br />ANNIVERSARY DATE: February 22, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <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-sub-rit-the-annual-fee,,-a-report-and-map-showing-the extent-af-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 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 anneal report and anmral report man 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: Warren Wilcox <br />Permittee Name: Warren & Sally <br />Address: P. O. Aox 42 <br />Gunnison, CO 81230 <br />Phone Number: <br />Fax Number: <br />(970)641-3088 <br />(970) 641-5811 <br />Wilcox dba Gunnison Gravel & Earthmoving <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />beloy~or attach it to this forr~t.a),ong with your written report and map. Annual Report instructions aze enclosed. <br />of <br />or Designee <br />CLI ~ - ~ ~- <br />Date <br />