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l~ <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />AUG Q 2 2~2 <br />PERMITTEE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Sandco, Inc. <br />M-1987-064 <br />Dalton Land & Cattle <br />August 27, 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />La Plata <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an operator <br />shall submit [he 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 [he date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may s~ ffce for a written report. <br />Division records indicate the following petmit[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David Dillon <br />Permittee Name: Sandco, Inc. <br />Address: P.O. Box 4440 <br />Durango, CO 81302 <br />Phone Number: (970) 247-1303 <br />Fax Number: (970) 382-9220 <br />If ou have additional comments and/or information that should be provided to the Division, please provide it <br />bel~iw or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />1; <br />1~. ;; Y <br />--/~^---~ Zil~ <br />Signature of Corporate Officer or Owner <br />- as-ems <br />Date <br />M.NHR ~ I ITN4ASTGR DOCUM ENTSNI-AFU I <br />