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RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Noland, Inc. <br />M-1994-108 <br />Cedar Point <br />March 7, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Montezuma <br />JAN 17 2003 <br />piuision 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 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 your revised written anneal re~nrt and anneal report m ~n 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: Rick Noland <br />Permittee Name: Noland, Inc. <br />Address: 40325 St. Hwy. 160 <br /> Mancos, CO 81328-8976 <br />Phone Number: - (303)-533-7557 - ------ - - - - - - - - - - -` `- <br />Fax Number: (970) 533-7099 <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 />Signature of orporate Officer, Owner, or Designee <br />-la- <br />Date <br />MdPERMITUv]ASTERDOCUMENTSVN-AF-01 <br />