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<br /> <br />PERMITTEE NAME: <br />PERMTf NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Pathfinder Development, Inc. <br />M-1994-113 <br />Pathfinder Pit <br />October 4, 2004 <br />$688.00 (Due on or before your anniversary date) <br />San Miguel <br />o ,~ <br />;. a <br />~ .. o% <br />a~ ~ <br />0 <br />~^ <br />,~ ~ ~O <br />o~ <br />e~ <br />a~, <br />°W~ <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 cun•ent 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 far the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual re~nnrt and annnal re~nrt maT to this form- Please 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: John Dourlet <br />Permittee Name: Pathfinder Development, Inc. <br />Address: P.O. Box 3332 <br />Telluride, CO 81435 <br />Phone Number: (970) 728-0167 <br />Fax Number: (970) 728-4661 <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 />b <br />Si f Corporate Officer, Owner, or Designee <br />~- ~s-y <br />Date <br />