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s/ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Byron J• & LaLani R. Weathers <br />M-1999-089 <br />Weathers Mine #1 <br />November 18, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Yuma <br />RECEIVED <br />~._ _ _ <br />RECEIVED <br />NOV 15 2002 <br />Division of Minerals and Gsslsyy <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall_submi[_the_annual fee, a-report_and_map-showing. the-extent-of-current-disturbances to-affected land, <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 vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Byron Weathers <br />Permittee Name: Byron J. & LaLani R. Weathers <br />Address: 1 ]955 CR 37 <br />Phone Number: <br />Fax Number: <br />Yuma, CO 80759 <br />(970)848-2912 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to [his form along with your written report and map. Annual Report instructions are enclosed. <br />Signatur of Co rate Officer, Owner, or Designee <br />Date <br />M iPERMI'MIASTERDOCUMENTSVvI-AF-01 <br />