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ANNIi;V. FF'E and RF'1't)It'1' RF' 11'RtiT <br />PI:R~'urrhF' Nntilr•.: RECEIVED <br />Thmnpson Properties <br />PE:RMI'f NO.: \[-1983-102 ~U~ 2~ <br />OPERATION NAIv9L•: 'Thompson Itcsouree <br />I:. ~,~~. ~rvi I :'~ ...,, .:.J L-~iln,7~ <br />ANNIVF.It5ARY UAl L: ;1ul;ust 2, 21106 <br />:\NNLtAI. IrL..I- DUF: :6688.00 (Ihu• on nr brl'urr Your anuivervrn darer <br />('OUNIY: Grand <br />According to C.R.S. 34-32.5-I I6 or ('.R,S. 3A-32-I I6, cnch year, un the anniversary' date otthc pennu, an operator <br />,hall euhmil the annual fee, a rclwrt and map shuw•rng the extent of current Disturbances to alYcctrd land, <br />reclamatwn accomplisheJ to Jate and Junng the preceding year, nev•• disturbances that arc anunputcJ to occur <br />During the upcoming year, reclamation that will br pcrfornteD Junng the runnng year, the Jutes the the hrgmnrng <br />of active upcrutionv. anJ the date active operations erased tar the year, tf any. <br />Please attach Yaur rrvlsed written •utnu~l renurt and annual renurt moo to this 1'nrm 1 hc• Annual Report <br />.\ Fee rrqurrrment is nut met until we hnvr received the follurYingt components: fee, renurt, and usmciated <br />mute (:111 ore require) regardless of Utc level of disturhunce ur ubYener of diswrbnnce during; the previous <br />year). Please /tu[e• thu! ua udr.fu~a,•!•.' L/hrlyd nutp shut c•leur'IY drlirteuutr ueJ iglludr.~ drd uhov.• a'!r/rn n(c nu/r <br />~'(If~ICC )nP !1 lL'/"I(fl7! YB~IO/'f. <br />Itivrsron records inJreatr the f-ollow•ing pcmtittee contact inlitmmUon. 1'lcusr vcnfy nnJ make any necessary <br />changes: <br />Petmmrc C"ontacr. Larry'flu>mpson <br />Permitter Name Thompson Properties <br />AJJrrss: P.O. 13os 3 <br /> <br />Phone Number: 1970) 887-3710 <br />Fax Nurnhcr. (970)887-2428 <br />If you have aJJilinnal rommrnls :mi1;'or inforntulwn that should hr proviDrd to the l)iY•ision, please pnn•rDe it <br />hclow or attach rt to thrs form along with your written rclwrt anJ map. Annual Report rnslructions arc enclose), <br />../~ <br />tir6m.tture o Corporate icer, Owner, ur Dcsrgnee <br />Date <br />