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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Hall-Irwin Corporation <br />M-1997-058 <br />Baseline Resource <br />February 12, 2003 <br />RECEIVED <br />FEB 2 0 ~ 1003 <br />Division of Minerals and GeoloBY <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />~ l0 ' O~ <br />Date <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 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 main to this form- P/ease 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: Jim McFarland <br />Permittee Name: Hall-Irwin Corporation <br />Address: P O Box 519 <br />Greeley, CO 80632 <br />Phone Number: (303) 654-1684 <br />Fax Number: (970) 352-6284 <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~ ~~~t~ <br />' a o orate Of er, Owner, esigne~~ <br />M:~PERMI'MIASTERDOCUMENTSVv1-AF-OI <br />