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DEC-11-02 12:50 FRO1A-l:olorado Diviclon Rf Minerals i Geoloiy <br />PERMTI"I'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />+13036663567 <br />ANNUAL FEE and REPORT REOUESI' <br />T-600 <br />Gary Rinderle Construction, Inc. <br />M•2001-088 <br />Upland Gravel <br />October 17, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Mesa <br />P.003/003 F-561 <br />13ECEIVED <br />DEC 162002 <br />Division of Minerals and Geology <br />~ According [o C.R.S. 3432.5-116 or C.R.S. 3432-116, Hach year, on the anniversary date of the permit, an operator <br />___ . __ , ..shall subtnit [he annual .fee, a report and rnap, showing the, extent of cuirent disturbances, io. 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 ~o nning <br />of active operations, and the date active operations ceased for [he year, if any. <br />i <br /> <br />rh rout revised written annual nenort and annual report man to this form. Please nine that mt <br />lnheled map that clearly delineates and includes the above elements may st~ice jot a written report. <br />Division records indicate the following permiuee convect information. Please verify and make any necessary <br />changes: <br />Permittee Contact Gary Rindede <br />Perruttee Name: Gary Rinderle Construction, Inc. <br />Address: °A'.~+-3'sna' <br />Clifton, CO 8152o-1380 <br />Phone Number: (970) 43x0510 <br />FaxPliunbu: ~~ - (970)434-6510 -- <br />P D (?~u~, 13~D <br />If you have additional cottunents and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along witb your written report and map. Annual Report instructions ate enclosed. <br />~/ t:71( I <br />Signature of Corporate O tcer, Owner, or Designee <br />~~~~ <br />Date <br />M:NF.RMTMAStER[NICUMQJTCIM.AFA1 <br />