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SSs <br />~~~~1 ~~~a~- <br />ANNTIAT, FF.F. and RF.Pt1RT RF.OTIF,RT <br />PERMITTEE NAME: `LAvalanche Creek Marble & Alabaster LLC~ <br />PERMIT NO.: vM-1999-042 <br />OPERATION NAME: White Banks Mine <br />ANNIVERSARY DATE: January 4, 2005 <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Pitkin <br />' r ~ ~ ~ 2co5 <br />~~ W ~~ <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 ym~r revised written anm~al rennrt and annnat report main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Robert Congdon <br />Permittee Name: Avalanche Creek Marble & Alabaster LLC <br />Address: 0367 Avalance Creek <br />Carbondale, CO 81623 <br />~ l~ ~i' L~~r~r-~cP-S- ~ y h yU <br />/~Lj ~ L/~4 rt ^ •. 1 <br />Phone Number: (970) 704-0547 <br />Fax Number: (970) 704-1669 <br />5 ~~ <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 instrucfions are <br />enclosed. <br />K~/T+,:~ C~-~ <br />Signature of Co orate Officer, Owner, or Designee <br />- z-~ <br />Date <br />M:~PERM77NrASTERDOCUMENTS7M-AF-02.DOC <br />