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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Thompson Properties <br />M-1983-102 <br />Thompson Resource <br />August 2, 2004 <br />~~ <br />RECEAUED <br />JUL 2 8 2004 <br />Division of Minerals & Geology <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 disturbances to affected land, <br />reclamation accomp ~s e o date and-dviricsg-the~receding-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 xgnr revised written anm.al report and anmial re~nrt m~ 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: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Larry Thompson <br />Thompson Properties <br />P.O. Box 3 <br />Granby, CO 80446 <br />(970)887-3710 <br />(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 />Signature of Corporate Officer, Owner, or Designee <br />7 a 6-~~ <br />Date <br /> <br />