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C.K -Wl lSct \-W6'' ,oa <br /> III IIIIIIIIIIIII III • <br /> 999 X(!/ <br /> ANNUAL FEE and REPORT REOUEST <br /> PERMITTEE NAME: Rick Hunt RECE/VED <br /> PERMIT NO.: M-1982-112 FEB 10 2001 <br /> OPERATION NAME: Miller Gravel Pit Division of <br /> ANNIVERSARY DATE: March 11,2001 Minerals andGeolo9V <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: Elbert <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 /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations,.and the date active operations ceased for the year,.if any: , .-r,. , !•.,. :; . <br /> Please attach your revised written annual report and annual report map to this form. Please note thdt an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Perm ittee Contact: Gregory D. Thomas <br /> Perm ittee Name: Rick Hunt <br /> Address: 43160 CR 17-21 <br /> Elizabeth, CO 80107 <br /> Phone Number: (303) 841-3970 <br /> Fax Number: (303) 646-9233 <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 <br /> enclosed. <br /> Signature of Corporate Officer or Owner <br /> 2,1 9t of <br /> Date <br /> M�PERMITIMASTERDOCUMENTSVN-AF-01 <br />