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'� � �IIII�IIIIIIII�III� <br /> 999 <br /> V <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: Morgan County MAY 0 2 2001 <br /> PERMIT NO.: M-1979-210 Division of Minerals and Geology <br /> OPERATION NAME: Foiles Pit No 2 <br /> ANNIVERSARY DATE: May 4,2001 <br /> ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br /> COUNTY: Morgan <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 man to this form. Please note that an <br /> adequately laheled map that clearly delineates and includes the ahove elements may suffice for a written <br /> report. <br /> Division records indicate the following petmittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Joe B. Baltazar <br /> Permittee Name: Morgan County <br /> Address: 17303 CR S <br /> Ft Morgan, CO 80701 <br /> Phone Number: (970) 867-8202 (970) 867-9446 <br /> Fax Number: (970) 867-5264 <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 forth along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> gnature of Corporate Off Icer or Owner <br /> 4-30-01 <br /> Date <br /> M TERMITMASTERDOCUN ENTSW-AF-04 <br />