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s ss <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />operator <br />map <br />land, reclamation accomplished to date and 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 />Ptease attach ynnr revised written anneal rennrt and anneal ,r_enn m Yn to this form. Please note that an <br />adeguately 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 />Permittee Contact: Frank Bell <br />Permittee Name: Town of Crested Butte <br />Address: 507 Marmon Ave. <br />P.O. Box 39 <br />Crested Butte, CO 81224 <br />Phone Number: (970) 349-5338 <br />Fax Number: (970) 349-6626 <br />If you have additional comments and/or information that should be provided to the Division, <br />below or attach it to this form along with your written report and map. Annual Report <br />enclosed. <br />Signatu a of Corporate Officer, Owner, or Designee <br />` G, <br />Date <br />Town of Crested Butte <br />M-1981-002 <br />Mountain View Pit <br />July 15, 2004 <br />~~ <br />RECEIVED <br />JUL 13 Zppy <br />Division of Minerals and Cealagy <br />$281.00 (Due on or before your anniversary date) <br />Gunnison <br />please provide it <br />instructions are <br />M:IPERMITVvfASTERDOCUMENTS~M-AF-04 <br />