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~~~~°l <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.; <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ Gunnison County <br />'11~I-1985-072 <br />Taramarcaz Pit <br />June 26, 2007 <br />~~ <br />~,,.,TnRn~ .(~ <br />~` g 2001 <br />~~w 2 .:~ ,,;,,.tlon~ <br />%V Wlinln9 ond'a"'tY <br />$$281.00 (Due on or hefore your anniversary date) <br />Gunnison <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1I6, each yeaz, 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 />land, reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to <br />occur during the upcoming yeaz, 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 vour revised written annual report and annual resort map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durine the previous vear and no <br />new chances to the previous year's map are necessary, then no new man is reuuired, provided that the <br />Operator shall state this in the Annua- Report. Please note that an adequately labeled map that clearly <br />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: Mazlene D. Crosby <br />Permittee Name: <br />Address: <br />Gunnison County <br />811 Rio Grande <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-0044 <br />Fax Number: (970y 641-8120 <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 aze <br />enclosed. <br />Cr~ . <br />!p afore of Corporate Officer, Owner r Designee <br />l71~~t_ ay ~am~1 <br />Date <br />M:~PERMI'nMAS'I'ERDOCUMEN'1'SU1-AF-04 <br />