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1 ~ ~ ~ <br />PF ~ R~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Pathfinder Development, Inc. <br />M-1994-113 <br />Pathfinder Pit <br />October 4, 2007 <br />RECEryED <br /> <br />SEP 2 4 2001 <br />D ~~ ~ g~afety n, <br />$$791.00 (Due on or before your anniversary date) <br />San Miguel <br />_Accordi~to_C-R.~. X4_32.5-116 or C.R_S_34-32-116, each year, on the an_niversa 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 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 vour 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 />man. If no new disturbances or reclamation have occurred durine the previous near and no new changes 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 Report. 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: John Dourlet <br />Permittee Name: Pathfinder Development, Inc, <br />Address: P,O. Box 3332 <br />Telluride, CO 81435 <br />Phone Number: (970) 728-0167 <br />Fax Number: (970) 728-4661 <br />~ I ( i ~~t~-i 1'a~ i S <br />~/Y'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 />l~ <br />Si a~ of Corporate Officer, Owner, or Designee <br />Date ~ <br />