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.~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Yust Ranch <br />M-2000-014 <br />Yust Ranch Grave! Pit <br />May 22, 2002 <br />RECEIVED <br />APR 1 1 2002 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Grand <br />According to C.R.S. 34-32.5-] 16 or C.R.S. 3432-116, 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, [he dates for [he beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. 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: Jim Yust <br />Permittee Name: Yust Ranch <br />Address: Box 246 881 Grand County 1 <br /> Kremmling, CO 80459 <br />Phone Number: (970) 724-3578 <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 form along with your written report and map. Annual Report instructions are enclosed. <br />Officer or Owner <br />®Z. <br />M:WERMq VMASTERDOCUMENTSVN-AF-O f <br />