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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ ~`Wl <br />l/ ANNiIAi, FF,F, and RF.PnRT RF,niTF.ST <br />t~ Unaweep Ventures, LLC <br />M-1984-001 <br />Surface Rock Pit <br />Apri14, 2006 <br />RECE~'~ED <br />/APR 122006 <br />ieielon of Minerela end Gaologp <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />_ - _ _ ,chap-cuhmit-the-~annnal- fee a rrnnrt and_mar» chpwjrlg_}hP PYtrnt of rnrrrnt dick ~rhanne$_tp_affeeted ,]and,_ - _ <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 your revised written annual report and annual report m ~n 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: Jessica Billingsley <br />Permittee Name: Unaweep Ventures, LLC <br />Address: 305 Society Dr., Unit Dl <br />Telluride, CO 81435 <br />Phone Number: (9 - 228 <br />Fax Number: <br />(~ao) aa~ --~33~ ~ <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 />~_~ <br />Signature of Corporate Officer, Owner, or Designee <br />~ ly la oc~~ <br />Date <br />