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S <br />~` ' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Grant Bros Const Ltd <br />M-1981-068 <br />Loesch Pit <br />October 27, 2002 <br /> <br />RECEIVED <br />OCT 0 7 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Garfield <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 operator <br />shalf-submit=the-annual~e-a-report-and--map showing=the-extent-of_.surreut._!disturbances-to=affectedJand,_ <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 vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled reap that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />PermiUee Contact: Dan or Doug Grant <br />Petmittee Name: Grant Bros Const Ltd <br />Address: P.O. Box 1027 <br />Basalt, CO 81621 <br />Phone Number: (970) 927-3201 <br />Fax-Number._~ .(~ZO)_92Z8386 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Repot[ instructions are enclosed. <br />Signa re of Corporate Officer, Owner, or Designee <br />y~a9~ o~ <br />Date <br />M ~~PERM ITU1 ASTERDOCUMEMSVvI-AF-OI <br />