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kls <br />,~ <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNiiAi. FF.F, and RF.PnRT RF,QiiF.ST <br />Thompson Properties <br />/M-1983-102 <br />Thompson Resource <br />August 2, 2005 <br /> <br />t-~UL 2 6 2005 <br />-7v Division o4Mige~a~s::~Gwlc~y <br />$688.00 (Due on or before your anniversary date) <br />Grand <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 operator ~ <br />shall submit the annual fee, a report and_map_showing_the-extent-of-current-disttu~bances 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 ynnr revised written anneal report and annual report maT to this fnr~p, 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: Larry Thompson <br />Permittee Name: Thompson Properties <br />Address: P.O. Box 3 <br />Granby, CO 80446 <br />Phone Number: (970} 887-3710 <br />Fax Number: (970) 887-2428 <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 enclosed. <br />C~ ~ <br />eJ~ 1~ <br />Signature of Corporate Officer,Qmier, or Designee <br />'~, a? ~- m-s- <br />Date <br />