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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Pitldn Iron Corporation <br />M-1982-121 <br />Mid-Continent LST <br />April 25, 2003 <br /> <br />RECEIVED <br />MAR 112003 <br />Division of Minerals and Geola9Y <br />$688.00 (Due on or before your anniversary date) <br />Garfield <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on_the anniversary date of the_permit, an operator ___ <br />--shall submit the annual fee, areport-and- p~showt g 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 the date active operations ceased for the year, if any. <br />Please attach ym~r revised written annual rennrt and anneal re nn rt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Robert J. Delaney <br />Permittee Name: Pitkin Iron Corporation <br />Address: 0755 Airport Rd. <br />P.O. Box 1298 <br />Glenwood Springs, CO 81601 <br />_V Phone Number: _ (970) 945-0703 , _ _ <br />Fax Number: -(303}~l45=b903" <br />/'9~~) 9y~~ o a/ 'z <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 />Signature o Corporate Offi er, Owner, or Designee <br />-//- ~OO3 <br />Date <br />M:~PERM ITUTASTER DOCUMENTSU~I-AF-01 <br />