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~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aspen Enterprises <br />M-1978-208 <br />Shaffers Crossing <br />June 16, 2004 <br />S~ <br />F~~~~'a~~~7 <br />JUL i 9 2004 <br />Division of Minerals & 6eolo8Y <br />$281.00 (Due on or before your anniversary date) <br />Jefferson <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 />sball_s~~nit-xhe~anr2a]-fee,_a-repor?-and-map-showing-the-extent-ef-current-disturbances-to-affected--laud- -- <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 Ynnr revised written anmral re~nrt and_, anneal rgpprt map 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: ~ I ~I o4\ <br />Permittee Contact: Juliet Carlson n~~ ~~ ~~~'~~ Mats ~ N1RrnQ.dJ <br />Permittee Name: Aspen Enterprises" '-- - ~ ~~ <br />Address: 12383 Wamblee Valley Road <br />Conifer, CO 80433 <br />PhoneNumber:.__ __(303)_670-3160-~ _- _~ ~ _.). ~((o_ -~~~ - _ __ <br />Fax Number: <br />If you h additio comments and/or information that should be provided to the Division, please provide it <br />belo r att ch it t t is fomy^¢long with your written report and map. Annual Report instructions are enclosed. <br />Signature of {~orporate~REer,l9yvner, or Designee <br />