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<br />RECELVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Rudy Fontanari <br />M-1986-002 <br />Whitewater Quarry <br />February 26, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Mesa <br />FEB 2 6 2003 <br />Division of Minerals and Geology <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 submit the annual fee, a report and map sfiowt- ng the exte-~of curren~dis-[ur>) ances fo affe~t~d"lanZ1; <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 tenor[ and annual re~nrt 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 report. <br />Division records indicate the following pemuttee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rudy Fontanari <br />Permittee Name: Rudy Fontanari <br />Address: 3316 E. 3/4 Rd.- Rt. 1 <br />Clifton, CO 81520 <br />--- Phone Number: <br />Fax Number: <br />(970)434-7948 _ <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 />~~~ <br />Signat re of Corporate Officer, Owner, or Designee <br />n2- r~a~-- ~ ~ <br />Date <br />M:IPERMITVAASTERD000MENTSUI-AF-01 <br />