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rco <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~~~ <br />rrdalveil Construction <br />" M-2001-054 <br />Bridalveil <br />October 28, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Ouray <br />RECEIVED <br />ocT 2 a zoos <br />Division 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 />reclamation accomplished to date and during the preceding year, new disturbances [hat 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 annual rgpnrt and anmral re nrp t man 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: Emery L. Olin <br />Permittee Name: Bridalveil Construction <br />Address: 1796 N. Main St. <br />P.O. Box 1412 <br />Ouray, CO 81427 <br />Phone Number: (970) 325-4674 <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 />~~i/I ~/ 4/ ll I,C. .l/~.~~' <br />Sign u orporate f cer, Owner, or Designee <br />Date <br /> <br />