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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Hall-Irwin Corporation <br />M-1996-060 <br />Firestien Pit <br />December 31, 2003 <br /> <br />~IEC:I~V\/fEi~ <br />DEC2220ai <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />- According-to-C.R.S_34,32.5-116 or_C :R.S. 34-32-116, each ear, on the anniversary date of the permit, an operator <br />- --shall-submit the annuah fee,-a report-and- map shawing-the extent o curreii~disturba~rcgs is aPfecred-la. ~ - -- <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 your revised written annual rennrt and annual re nn r[ ma-t 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: Jim McFarland <br />Permittee Name: Hall-Irwin Corporation <br />Address: P. O. Box 519 <br />Fax Number: <br />Greeley, CO 80632 <br />I.D. ,c 2150 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below otlattach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Uwner, or Designee <br />_ v t L ~ 8'/C23 <br />Date r <br />M:\PERMIN7ASTERD000MENTSUI-AF-OI <br />