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l -v - <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Raymond C. Petersen <br />M-1981-236 <br />Colorado River Ranch Gravel Pit <br />March 29, 2002 <br />RECEIVED <br />FEB 1 5 2002 <br />Division of Minerals and DeoloAY <br />$688.00 (Due on or before your anniversary date) <br />Grand <br />According to C.R,S. 34-32.5-1 16 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 current disturbances to affected land, <br />- reclamation°aceonplished-to-date and-during-the=precedingyear; new disrurbauces ihat-arz anticipated to'-occur - -- <br />during [he 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 your revised written annual report and annual resort map to this form. Please note that an <br />adegnately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Petmittee Contact: Raymond C. Petersen <br />Permittee Name: Raymond C. Petersen <br />Address: P.O. Box 832 <br />ICremmling, CO 80459 <br />Phone Number: (970) 724-9327 <br />Fax Number: (970) 724-9327 <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 />Date <br />M:NERMnN1ASTERD000MENT5NI-AF-OI <br />