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<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Moffat County <br />M-2002-059 <br />Sunbeam Pit #1 <br />October 1, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Moffat <br />OCT032003 <br />giviaion of Minerals and Geology <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 />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual rPnnrt and anneal rennrt ma= to this Tnrm. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: 822 E. Ist St. <br />P.O. Box 667 <br />Craig, CO 81626 <br />Phone Number (970) 824-3211 <br />Fax Number: (970) 824-0656 <br />If you have additional comments and/or information that should be provided [o the Division, please provide it <br />below or attalch it to this~ak>ng-wish-year-written~~ort and map. Annual Report instructions are <br />Stockpile Reduction Only - No Map Necessary <br />Officer, Owner, or Designee <br />September 16, 2003 <br />Date <br />M:WERMITU9ASTERD000MENTSVN-AF-04 <br />