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<br />RECEIVE <br />FEB 19 2QC3 <br />PERMITTEE NAME: Rick Hunt <br />PERMIT NO.: M-1982-112 <br />OPERATION NAME: Miller Gravel Pit <br />ANNIVERSARY DATE: March 11, 2003 <br />Division of Minerals and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Elbert <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 <br />snau suomu me annuat ree, a repon ana map snowing the ex[en[ or Curren[ atsmroances to auec[ea [ana, <br />reclamation accomplished to date and during the preceding year, new disturbances [hat 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 annual rennrt and annual rePart maw to this Tnrm_ 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 petmittee contact information. Please verify and make any necessary <br />changes: <br /> <br />Permittee Contact: 1 <br />(-~ 10~ y-'(~ <br />Permittee Name: Rick Hunt <br />Address: 43160 CR 17-21 <br /> Elizabeth, CO 80107 <br />-- - Phone Number: (303) 841-3970 - - - - - - -- -- - - - -- <br />Fax Number: (303) 646-9233 <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 />S[gnature o Corporate Officer, Owner, or Designee <br />//a~~ 3 <br />Date <br />M9PERMITMASTERDOC UM ENTSVN-AF-01 <br />