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nr., ~rY <br />~ ~~~ <br />5 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Moores Mining Ranching & Mill <br />~M-1980-178 <br />Moores Pit <br />September 15, 2005 <br />~'SEP 1 4 2005 <br />~Oivisinn of Pdiner~ls an~i Gaolopy <br />$281.00 (Due on or before your anniversary date) <br />Mesa <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 <br />SsS <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 ym~r revised written annual rennrt and annnal re~pnrf maT to this form. Please note that an <br />adequately labeled map that clearly delineates artd 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: Jean Moores <br />Permittee Name: Moores Mining Ranching & Mill <br />Address: 32906 Hwy 141 <br />Gateway, CO 81522 <br />Fax Number: (970) 931-2802 <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 />%! aka <br />Signature f Corporate Officer, Owner, or Designee <br />o, ~mo.5 <br />Date <br />