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<br />PERMITTEE NAME: Grant Bros Coust Ltd SEP 3 0 ?ppq <br />PERMIT NO.: M-1981-068 plulelun of Minerals and Geology <br />OPERATION NAME: Loesch Pit <br />ANNIVERSARY DATE: October 27, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Garfield <br />RECEIVE® <br />~~ <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 />- - = reelamatton`aceamplished`to-date-and-daring'the-preceding-year,-new dist~abances-that-are-anticipatzd-to-accar'- <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 ynnr r wised written annual report and anneal re~nrt maT 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dan or Doug Grant <br />Pennittee Name: Grant Bros Const Ltd <br />Address: P.O. Box 1027 <br />Basalt, CO 81621 <br />Phone Number: <br />Fax Number: <br />(' iM <br />(970) 927-3201 <br />(970)927-8386 <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 />~,~se ~ Scr*Q a ti weg'~ -'Sdwt~ C'sr~e.r, ~L Cam. <br />~~-L-¢i^2 /-~p~v2 Y~Q~ tFJeeln N.t~ <br />C~ t' v ~ ~~ Nra„L.~a r ~Y1 ~ LS ¢. y.~.i ..ems: ~ w Sbtw4 owews o ~-2no 3 <br />///•~ !/ , <br />C"~'"'i~Cf.d <br />~gna o~orporate Officer, Owner, or Designee <br />ra S: (o-..A d~ L~-C <br />q-~ s - c3~' <br />Da/te ~~ ,^,,,` / <br />~t'1.~ ~l/r o~ ~ s SehG 103r~ <br />