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ANNiTAi. FRR and RFP(IRT RF.(IiTF.ST O~i,~_ OCj.~C~~/j <br />,o~ ®6~ ~~ <br />°'~ <br />PERMITTEE NAME: Brice F Lee & Phyllis J Lee '~P`d4~a <br />.~~, <br />PERMIT NO.: M-1977-546 "oio~ <br />OPERATION NAME: Horvath Pit No 1 <br />ANNIVERSARY DATE: July 26, 2003 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 submit the annual fee, a report 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 ynnr revised written anm~al re~nrt and annnal rennrt man to this fnrm_ 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brice F. Lee <br />Permittee Name: Brice F Lee & Phyllis J Lee <br />Address: 940 CR 119 <br />Hesperus, CO 81326 <br />Phone Number: (303) 588-3369 <br />Fax Number: (970) 588-3369 <br />If you have additional comments and/or information that should be provided to the Div' ' ease de it <br />below or attach it to this form along with your written rep ma .Annual Report instmctions are enclosed. <br />Officer, Owner, or <br />rtG.r - <br />%;~y f"' <br />MaPERMlitMASTER DOCUMENTSIM-AF-OI <br />