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~/ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~=QPi <br />A>`nvriAi, FF.F, and RF,Pl7RT RF,nTTF.ST RECEIVED <br />' R~ndy Perdue <br />Y M-2000-089 <br />Perdue <br />October 4,2005 <br />$281.00 (Due on or before your anniversary date) <br />Boulder <br />~~OCT t t 2005 <br />~ pirision of Minerals and Geology <br />--- - According tc C-.R~. 34-32.5-1-I6 or C.R.S_3A_32-1.16, 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 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 y~nnr revised written annnal re~nrt and annual rennrt m~ to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Randy Perdue <br />Permittee Name: Randy Perdue <br />Address: P.O. Box 811 ~ j~J bl~X ~r5 ?( <br />~r~~~ , n, ~5 ~b <br />Lyons, CO 80540 <br />Phone I~rumber: (303) 823-5682 ~~ • ~~ ~~ - ~(p ~~ <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 enclosed. <br />. S o ~.~-~ <br />1~-~~ - o~ <br />