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~~~ ~ ~ <br />ANNiiAf, FF.F. and REPORT RFOLTF.ST REGEB®/ED <br /> AUG 21 2004 <br />PERMITTEE NAME: Gunnison Connty <br />PERMIT NO.: M-1991-104 ivision of Niinerels & Goology <br />OPERATION NAME: Nicolas Pit <br />ANNIVERSARY DATE: September 17, 2004 <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~ffected <br />- - - -land,-reclamation accomplished-to'date'and during the preceding year, riew distuiliances that are'antibipated 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 />~{•.ase attach yo m r vis d written annual renrnrt and annnal report map.tn this form. Please note that an <br />adeguately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee 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 />~~~~pLYI~~ • lr 17A1 <br />tore of Corporate Officer, Owne r Designee <br />~~afo4 <br />Date <br />M9PERMIT~h1ASTERD000MENTSVN-AF-04 <br />