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<br />RECEIVED <br />JAN 13 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gary K. and Sarah L. McNulty <br />M-1980-003 <br />McNulty Cinder Pit <br />January 23, 2003 <br />~tYlSlpn ~i Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Eagle <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 [o 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 y~r revised written anneal renrort and anm~al renort 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: Sarah L. McNulty <br />Permittee Name: Gary K. and Sarah L. McNulty <br />Address: <br />Phone Number: <br />Fax Number: <br />7747 CR 100 <br />Carbondale, CO 81623 <br />(970)963-4829 <br />(970)963-4829 <br />S,¢2AH L. h• n/vt.ry <br />CkR•1 K. t' S~4RAH r1`tJtlt_r, <br />rl~+'1 COww.~. 1~ . K~O J <br />G~„ bo,da.c-e.. G~ . & ~ 4Z~ <br />!~ ~G ~ <br />9'Io 963- Lrr3-63 - <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />-~ ~ <br />Slg azure orate Otticer, Own , or Des- ignee <br />~~ s ~~3 . <br />Date <br />M iPERMI7 VNASTERDOCUM ENTS~A1-AF-01 <br />