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_~- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />United Companies of Mesa County, Inc. <br />M-1980-022 <br />Preston Pit Extension <br />February 2, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />~- <br />RCCtIVED <br />FEB 0 4 2002 <br />Givisian of Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 3G-32-116, each year, on the anniversary date of the permit, an operator <br />.shall submit the annual f_ee, a report and-map showirig_Ihe, extent ~f.current-disturbances to.affected lattd, -. <br />reclamation accomplished to date and during the 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 the 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 map 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 indicate the following permittee contact infointation. Please verify and make any necessary <br />...changes: ~, <br />Permittee Contact: Richard Johnson <br />Permittee Name: United Companies of Mesa County,,{~rt <br />Address: ~~ 2273 River Rd. <br /> Grand Junction, CO 81505 <br />Phone Number: (970) 243-4900 <br />Fax Number: (970) 243-5945 <br />If you have additional comments and/or information [hat 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 />tgnature of C rate Officer or Owner <br />J~7 Ng /h z) Z ~Z <br />Date <br />M:~PERM17 V.1ASTERD000M ENTSN4-AF-OI <br />