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999 <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEE NAME: M J Cadgene RECEIVED <br /> PERMIT NO.: 3• M16"83-158 <br /> t JAN 2 9 2001 <br /> OPERATION NAME: Cadgene Pit <br /> ANNIVERSARY DATE: January 30,2001 Division of Minerals and Ga0!09Y <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Montrose <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, 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 perforated 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 rnap that clearly delineates and includes the above elements may suffice 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: M J. Cadene <br /> Permittee Name: M 1 Cadgene <br /> Address: P.O. Box 10 <br /> Redvale, CO 81431 <br /> Phone Number: (970) 327-4694 <br /> Fax Number: (970) 327-4694 <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 /> n \ <br /> �I <br /> Signatu Corporate icer or Owner <br /> /(0 �U <br /> Date <br /> M WERMINNASTERDOCUNtENTSVN-AF-01 <br />