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: III IIIIIIIIIIIIIo RECHVED <br /> ANNUAL FEE and REPORT REOUEST JUN 2 9 2001 <br /> Division of Minerals and Geology <br /> PERMITTEE NAME: San Juan County <br /> PERMIT NO.: M-1990-070 <br /> OPERATION NAME: Eureka Gravel Pit <br /> ANNIVERSARY DATE: July 5,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: San Juan <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 map to this form. Please note that an <br /> adequately labeled trap that clearly delineates and includes the above elements may suffice 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: Louis K.Girodo <br /> Permittee Name: San Juan County <br /> Address: 1512 Greene St., Box 466 <br /> Silverton, CO 81433 <br /> Phone Number: (970) 387-5772 <br /> Fax Number: (970) 387-5+-7r `r 70- 387^ 577Z <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 /> Z:) <br /> Signature orporate Officer or Owner <br /> �T,vC <br /> Date <br /> MAPERWRMASTERDOCUMENTSIM AF-04 - - <br />