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<br />ANNUAL FEE and REPORT REQUEST <br />" <br />' RECEIVED <br />PERMIT <br />I <br />EE NAME: J Pat and Lila N Greer <br />PERMTT NO.: M-1985-115 JUN ~ 3 2001 <br />OPERATION NAME: Greer Pit Oivisipn of Minerals and G <br />l <br /> eo <br />ogy <br />ANNIVERSARY DATE: June 25, 2002 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 />- sTalf-submit-tlre-annuai--fee-a-rap~rt-artd-map-showing-ttl~-e'xiem of currenr distnrtiances"to affecfeu la'nd- <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 [he year, if any. <br />Please attach vour revised written annual report and annual report maa 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 [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: J. Pa[ Greer <br />Pemuttee Name: J Pat and Lila N Greer <br />Address: 8097 CR 100 <br />Hesperous, CO 81326 <br />Phone Number: (970) 588-3325 <br />Fax Number: <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 />9 <br />Si ature ofEaeperate-9ff-ieer or Owner <br />~-9-~DVz <br />Date <br />M:~PERMINNASTERDOCUMENTSIht-AF-OI <br />