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~_~ ~~ iii%iui <br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />PERMITTEE NAME: United Companies of Mesa~~t,~.[gS,ED JAN 0 8 100 <br />PERMIT NO.: M-1977-132 ~Ss f~ ~1// <br />OPERATION NAME: Berry Pit .IAN 0 g Y002 Division of Minerals and Geology <br />ANNNERSARY DATE: January 16, 2002 UivisianotMineralsandGeolop~ <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-1 l6, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a repoR 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 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 vour revised written annual resort and annual report moo to this form. Please note that an <br />adequately labeled map that clearly delineates and iric[udes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pemuttee Contact: Richard G. Johnson <br />Pertnittee Name: United Companies of Mesa County, Inc. <br />Address: 2273 River Rd. <br />Grand ]unction, CO 81505 <br />Phone Number: (970) 243-4900 <br />Fax Number: <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 fomt along with your written report and map. Annual Repoli instructions are enclosed. <br />. ture of Corpq~r t Officer or Owner <br />G•, NUS '-, <br />cJ _ ~ 2471_ <br />Date <br />~J <br />A7:~PERM I IV.IASTERD000M EMSNI-AF-01 <br />