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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Helen Whinnery ~+~^°~iel"1 <br />PERMIT NO.: M-1998-055 AUG 312001 <br />OPERATION NAME: Whinnery Pit Division of Rec~amauon, <br />Mining and Safety <br />ANNIVERSARY DATE: September I, 2007 <br />ANNUAL FEE DUE: $$323.00 (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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- - -reclamation-accomplished-to date-and-during-the preceding-year,-new disturbances-that-arc-antieipated to occar - -- <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 report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Repork. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Helen Whinn'e'ry/ <br />~~ tit//~!/IVVtP//,r~r <br />Permittee Name: Helen Whinnery ~ v-/ <br />Address: 2557 State Hwy. 149 <br />Powderhorn, CO 81243 <br />Phone Number: (970) 641-1678 <br />Fax Number: (970) 944-2517 <br />-/~ <br />~ ~ ~ ~!'~ <br />.. ~ ~uz C?i2ga~,ra~G <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 />~~,,, u)~ <br />Signature of Corporate Officer, Owner, Designee <br />Dates <br />