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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Moffat County <br />M-1980-248 <br />Lyons Pit No 2 <br />February 4,2003 <br />$688.00 (Due on or before your anniversary date) <br />Moffat <br />RECEIVED <br />FEB 1 4 2003 <br />Division of Minerals and Geology <br />- -According_to_C.R.S.-34.32.5=1.16_oc C.R.S._34-32-1.1.6,_each_yeaxron_the_anniversary_date_of_the_permit,_an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />--land,-reclamation-accomplished'to date`acrd-during the preceding-year,-new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and anneal reonrf m~ to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />PermitteeContact: IRBEilWbkJI8tX91; Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Craig CO 81626 <br />Phone Number: (970) 824-3211 <br />Fax Number: (970) 824-0356 <br />If 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 <br />enclosed. <br />STOCKPILE REDUCTION ONLY - NO MAP NECESSARY <br />Signatur Corporate Officer, Owner, or Designee <br />Billy E. Mack, Interim Director <br />1 -~~-off <br />Date <br />M:~PERMITV.1ASTERD000MENTSV.1-AF-09 <br />