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07/29/2002 <br />f~ <br />PERbtITTEE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DAT)r: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQ,,,UEST <br />Rock Island Land Ca, Ltc RECE! VED <br />M•1998-052 <br />Rock Island pperation a~ ~ 5 <br />July 22, 2002 Division of Minerals and Geolagp <br />$281.00 (Due on or before your anniversary date) <br />Summit <br />According [o C.R.S. 34-32.5,-116 or C.R.S. 34-32-! 16, each year, on the anniversary date of the permit, an operator <br />....shall .submitthe,_.annual.~'er, .a report and.map showing the sxtrnt of current. disturbances-to affected land, <br />reclamation accomplished tvy date and during the preceding year, new disturbances that are anticipated to occur <br />daring the upcoming year, reclamation [hat will be performed during the coming year, the dates for the beghming <br />of active operations, and [he date active operations ceased for the year, if any. <br />Please attach vottr revised written an2tral report acrd annual report prep. to tbis form. Please Hots char an <br />adequately dabeled map ehar clearly delineates and inriades the above elements may since for a written report. <br />Division records indicate the following pernrittee contact information. Please verify and matte any necessary <br />changes: <br />Perntittee Contact: Sam MCCleneghan <br />Pertniuee Name: Rock Isand Land Co., LLC <br />Address: P.O. Box 1012 <br />Breclcetuidge, CO 80424 <br />Phone Number: (970) 45.3-6360 <br />Pax Nunnber: {970) 453-tS395 <br />Q ~f tivrr L L\(' <br />1f you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature f Corporate Officer or Owner r <br />Date <br />Af'W EY.M[rUfASiEAD000ME'ITTM-AF01 <br />