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.~+-• <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Park County <br />PERMIT NO.: M-1980-012 <br />OPERATION NAME: Valley of the Sun Pit <br />ANNIVERSARY DATE: April 1, 2002 <br />RECEIVED <br />MAR 2 8 2002 <br />Division of Minerals and Geology <br />ANNUAL FEE: $281.00 (Due on or before anniversary date) <br />COUNTY: Park <br />According to C.R.S. 34-32.5 or C.R.S. 34-32-116, each yeaz. On the anniversary date of <br />the permit, an operator shall submit the annual fee, a report and map showing the extent <br />of current disturbances to affected land, reclamation accomplished to date and during the <br />preceding yeaz, new disturbances that are anticipated to occur during the upcoming yeaz, <br />the dates for the beginning of active operations, and the date active operations ceased for <br />the year, if any. <br />Please attach vour revised written annual resort and annual resort maa to this <br />form. Please note that an adequately labeled map that clearly delineates and includes <br />the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and <br />make any necessary changes: <br />Permiitee Contact: Dou Keith <br />Permittee Name: Pazk County <br />Address: P.O. Box 147 <br /> Fairp lay. CO.,_80440 <br />Phone Number: (719 836-4270 <br />Fax Number: (719 L836-4275 <br />If you have additional comments and/or information that should be provided to the <br />Division, please provide it below or attach it to this form along with your wr tten eport <br />and map~rui}Ydl Reasrt ' tructions are enclosed. r ~ <br />iii ~~" Road Mtd Miti~ <br />or Owner <br />Date <br /> <br />