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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ 1 <br />~~ <br />ANNTiAi. FF,F, and RF,PTTRT RF.OTIF.ST <br />Colorado Minerals RecoveryCorp.~ RE~i~~~t4'~l~_~ <br />~-1989-068 <br />Centennial <br />r co <br />September 27, 2005 ~ Division of Mmerais onu beam,;, <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />~UG 2 6 2005 <br /> <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />--tared; reelarisatiomaccomplish~d-to datEan urmg the preceding year, new disturbance"" s t~ art e anttci~ pated~o <br />occur during the upcoming year, 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 ym~r revised written anneal report and annual re~nrt 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 <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael Moore <br />Permittee Name: Colorado Minerals Recovery Corp. <br />Address: P.O. Box 326 <br />Nucla, CO 81424 <br />Phone Number:-~ ?0~-464-~&14 _ <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. A/nnual Report instructions are <br />enclosed./ ~ Q~y ~'v~/ i s ~ 5.~~.` ., (,U r ~~ ~va pq'~ ~ ~~in-~~j~ % ~1 ~ S <br />/1/2 ,~~- P.~..~ ~ /h/.u-r oa w2 ~v~ {^u./~r /Ii u,n.. ccivk~ i s e ir-~ <br />Si ature of Corporate Officer, Owner, or Designee <br />~ ~z 3~6 ~ <br />Dat <br /> <br />M:~PERMITNIASTERDOCUMENTSMf-AF-02. DOC <br />