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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />F?/ <br />Town of Crested Butte ? <br />M-1981-002 _? <br />Mountain View Pit <br />July 15, 2009 <br />t/ ftFE'kF1Vje® <br />o. AUG 3 i 200,9 <br />`' of l eci <br />e'Wbvn9and ong at , <br />$323.00 (Due on or before your anniversary date) <br />Gunnison <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. <br />Please attach vour revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the previous vear's map are necessarv, then no new man is reauired, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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 H. Gillie <br />Permittee Name: Town of Crested Butte <br />Address: 507 Marroon Ave. <br />-P.O. Box 39_ _ - <br />Phone Number: <br />Fax Number: <br />Crested Butte, CO 81224 <br />(970) 349-5338 <br />(970) 349-6626 <br /> <br />L( / I <br /> <br />U I/ <br /> <br /> <br /> <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 of Corporate Officer or Owner <br />9-.?2 f- 2oo ? <br />Date