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�������� 0 RECEIVED <br /> JUN 2 2 2001 `ICJ <br /> ANNUAL FEE and REPORT REQUEST Division of Minerals and Geology <br /> PERMITTEE NAME: William & Beverly Caldwell and Albert & Lola Nesselhuf <br /> PERMIT NO.: M-1997-071 <br /> OPERATION NAME: Caldwell-Nesselhuf Pit No. 1 <br /> ANNIVERSARY DATE: l_ June 30,2001 <br /> ANNUAL FEE DUE: $ 00 (Due on or before your anniversary date) <br /> COUNTY: Crowley <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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land,-reclamatiorraccompIished 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 /> Please attach your 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 ice 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: Albert F.Nesselhuf,Jr. <br /> Permittee Name: William & Beverly Caldwell and Albert& Lola Nesselhuf <br /> Address: 31160 CR 14 <br /> Manzanola, CO 81058 <br /> Phone Number: (719) 254-3231 <br /> Fax Number: <br /> If you have additional comments and/or information that should be provided to the Division, please,provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> Signature of Corporate Officer or <br /> /./. <br /> Date <br /> M TERNHPMASTERDOCUMENTSNM-AF-01 <br />