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'CT <br />RECEIVED <br />MAR 012004 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Noland, Inc. <br />M-1994-108 <br />Cedar Point <br />March 7, 2004 <br />$688.00 (Due on or before your anniversary date) <br />Montezuma <br />Division of Minerals & 6eolopY <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~ubmit_the_annual _ti:eTa_report and-map_showing_the_extent_olvcurtent_ disturbances to a_fected lan sd _ <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 beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ymrr revised written anneal re~nrt and anmral re n~ rf maT 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 />Permittee Contact: Rick Noland <br />Permittee Name: Noland, Inc. <br />Address: 40325 St. Hwy. 160 <br />Mancos, CO 81328-8976 <br />Phone Number: (303) 533-7557 <br />Fax Number: (970) 533-7099 <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 />~~JLI~~ <br />Signature of orporate Officer, Owner, or Designee <br />Date O <br />