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iwp + 014' <br />PERMITTEE NAME: <br />'PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />Aunnison County <br />J M-1985-072 <br />Taramarcaz Pit <br />June 26, 2010 <br />REM-12" <br />JUN Z 4 2010 <br />Je7 Dina mf R?c?n <br />1, ring sad evh* <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 your revised written annual report and annual report may 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 changes to the previous year's map are necessary, then no new map is required, 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: Marlene D. Crosby <br />Permittee Name: Gunnison County <br />Address: 811 Rio Grande <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-0044 <br />Fax Number: (970) 641-8120 <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 />'S' ture of Corporate Officer, Owner, o esignee <br />? <br />Date <br />M:\PERMIT1IvMASTERDOCUMENTSIM-AF-04