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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />.ANNUAL FEE DUE: <br />COUNTY: <br /> <br />~~ ~ <br />RECEIVED <br />JUL 0 i 2004 <br />liirision ~f Minerals and Geology <br />Connell Resources, Inc. <br />M-1998-058 <br />Tellier Gravel Pit <br />June 30, 2004 <br />$b88.00 (Due on or before your anniversary date) <br />Routt <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 current disturbances to affected land, <br />---"reclamation-accomp}isbed-to-date-and-during-the_preceding_year, new disturbances that are anticipated to occur <br />during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the beginning '- <br />ofactive operations, and the date active operations ceased for the year, if any. <br />PPlease attach ynnr revised written annnal renn and annnal report m ~n to this form. P[eaSe 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 />Yermittee Contact: Art Morrissey <br />F'ermittee Name: <br />Address: <br />Phone Number: <br />F'ax Number: <br />Connell Resources, Inc. <br />P.O. Box 882590 <br />Steamboat Springs, CO 80488 <br />(970)870-0200 <br />(970)870-0290 <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 />Signay of Corporate Officer, Owner, or Designee <br />Date ~~~~ <br />