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SS S <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Helen Whinnery <br />M-1998-055 <br />Whinnery Pit <br />September 1, 2004 <br />~~ <br />FiECEIVE® <br />AUG 3 02004 <br />Olvislon of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Gunnison <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-ta-date-and-a~~ :~zl~ri--preceding-;tear; new_disturbances_that_a[e. 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 ymrr revised written anmral tenor[ and anmral re n~ rt mxn 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: Helen Whinnery <br />Permittee Name: Helen Whinnery <br />Address: <br />Phone Number: <br />Fax Number: <br />2557 State Hwy. 149 <br />Powderhorn, CO 81243 <br />(970) 641-1678 <br />(970) 944-2517 <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~7t-e-vr~ ~/In',~YV~ <br />Signature of Corporate Officer, weer, or Designee <br />~~6 /o~ <br />Date <br />