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JI1L-tT-Bt 11:08 FROM-Celoroda )Irltlon of Minerals ~ Qaolwy +190IAA8868T <br />ANNUM. FEE attd IMPORT RSOU1pST <br />~ERMr]TES NAME: Tdlurlde Gtatvd, Irk. <br />irIRMTT NO.: <br />OP17LP,TIGN NA1NE: <br />ANNIVERSARY DATE: <br />ANNUAL FLE DUE: <br />covNTY: <br />M-1974-032 <br />Alnandcr Plt <br />1-8iI P.003/003 P-OBO <br />RECEIVED <br />AUG 0 7.2002 <br />~~ <br />1V <br />Oivisian of Minerals art9 Geology <br />dune 17, 2002 <br />;68$.00 (Doe m or hdare your annlversatq date) <br />sn MtQod <br />According W C.R.S. 34-32.5-1 t6 wC.R.S_ 3432-1]6, each year, on the anniversary date of the permit, au opotatw <br />shall submit the Ittmual fee, a report and map showing the CXkgt of current disturbara:cs t0 affected land, <br />reclamation accomplished to date and during dte procediag year, eery disturbatMes that arc anticipated to occur <br />doting rite upcoming year, rec!attlation that will be performM during the coming year, dte dntrss fw the bCginning <br />of aoove operations, and the dr.ce active operations ceased for the year, iF any. <br />Please attach your rEVl~t1_ g dttru annual tetsort and anaaal report moo to this drat. Please note that an <br />ndcquarely labeled Hwp that rlearly delineores turd Includes tht above elements may sre~f "ter for a written report. <br />Division records induate the following permit[x contact infotmaaon. Please verify and make any necessary <br />changes: <br />Ptnmittee.Contact: ' David Hal inch <br />Permittee Name: Telluride Gravel, Inc. <br />Addtesa: 270 Hwy 625 <br />'t'elluride.. CO 814359144 <br />f ,, D • l7raw ~r L( <br />Co~rfi°~ , /CD Bl3Zr <br />Phone Number: (970) 728-3775 ~ / ~ - ~ ~l~~ - Z ~qS~ <br />Fax Number: (970} 728-3015 ~7D S6S ~ .~~ / O <br />if you have additional conurie:nts and/or iaforrrtedon that should be provided to the Division, Please providn it <br />helow ar attach it W this Eorm.dong vrith your wrimpt report and map. Annual Report instntetions are enclosed. <br />!~fA/~ <br />Signature of Cp~a ~pa~ar OGwner <br />~.~'~ Z <br />Daft: <br />M:NBMtn'WL~S1aRDtlCnMBPRBW-AK01 ~ ' <br />2d WHT0:00 2002 90 '6ny 06££-595-0L6: 'ON XFI~ Z31 JOB-l3(1ti~J'J 34I Ntll-131: WO'J~ <br />