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<br />PERMf1TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST d3ECEl VED <br />Noland, Inc. FEB 1 ~ 2002 <br />M-1994-108 Oivisisn of Minerals and Geology <br />Cedar Point <br />March 7, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Montezuma <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32r 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 accomplished-to-date and-during°ihe preceding year,-new disturbances-that-are-anticipated'to occur - --- <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for [he 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 report maa to this form. Please note that an <br />`adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records igdicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick Noland <br />Permittee Name: Noland, Inc. <br />Address: 40325 St. Hwy. 160 <br />Mancos, CO 81328-8976 <br />Phone Number: (303) 533-7557 <br />Fax Number: (970) 533-7099 <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 rporate Officer or Owner <br />Date <br />M U'EftM17~MASTERDOCUMENTS~hf.AF-OI <br />