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J ~J <br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />JUN 0 72002 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aspen Enterprises <br />M-1978-208 <br />Shaffers Crossing <br />June 16, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Jefferson <br />Division of Mineralsmrd fFeafagy <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 ma:o_1r4wittg_the_exten[~f_current. dis[urbance.~toaf£ecte_d_land, <br />reclamation accomplished to date and during the preceding yeaz, 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 beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual resort and annual resort maa to this Form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pemuttee Contact: William S. Peterson <br />Permittee Name: Aspen Enterprises <br />Address: 12383 Wamblee Valley Road <br />Conifer. CO 80433 <br />Phone Number: (303) 670-3160 <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 aze enclosed. <br />of <br />or Owner <br />Date <br />M:IPERMrI\MASTERDOCUMENTSVd-AF-01 <br />