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1• <br /> Illllllllllll <br /> ~ ANNUAL FEE and REPORT REOUEST RECEIVED <br /> _ AUG ? <br /> 01 <br /> PERMIT Division Of Minerals and fEE NAME: Gunnison County ?�d <br /> PERMIT NO.: M-1991.104 Ge°I°gy <br /> OPERATION NAME: Nicolas Pit <br /> ANNIVERSARY DATE: September 17,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: 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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <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 your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following pennittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Marlene Crosby <br /> Permittee Name: Gunnison County <br /> Address: 811 Rio Grande <br /> Gunnison, CO 81230 <br /> Phone Number: (970) 641-0044 <br /> Fax Number: (970) 641-8120 <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 <br /> enclosed. <br /> ieature of Corporate Officer v Owner <br /> 1.4 Q r .off dN 100/ <br /> DateJ <br /> A1:\PER M FIN1 ASTER DOCUNI ENTS VA-AF-61 <br />