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~ ~ ~_ ~' ~ <br /> <br /> <br />PERM[TTEE NAME: <br />PERMIT NO.: ANNi1Ai, FF.F, and RF.Pt7RT RF. <br />~1,,~ <br />Gu~ison County <br />RGI-1991-104 OiJF.ST <br />RE~:~Ilf~® <br /> <br />AUG 2 6 Y005 <br />OPERATION NAME: Nicolas Pit ~/ oi.vision of r~> ,~..._~, <br />llloUy <br />ANNIVERSARY DATE: September 17, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <br />~rM <br />- _ - ~ccnrding_to_C_B=S _.?_4=,32..5--1 LF_e~G~R.S 34-32-1-16,-eash~vea_,s rh nrciverss~-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 ynnr revised written anneal re,~nrt and anneal report main }n this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Marlene Crosby <br />Permittee Name: Gunnison County <br />Address: 811 Rio Grande <br />Gunnison, CO 81230 <br />Phone Number: <br />Fax Number: <br />(970)641-0044 <br />(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 />lure of Corporate Officer, Owner or Designee <br />~. 8 , a.oo5 <br />Date <br />M:V'ERMITUTASTERDOCUMENTSN~I-AF-04 <br />