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~rf;~~r <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: A~NNiiAi. FF.F, and RF.Pf1R <br />'Connell Resources <br />d M-1999-050 T RF.niTFST R/ECE~~9 E~' <br />` ~E~ <br />~ <br /> <br /> <br />OPERATION NAME: <br /> <br />Timnath Connell Pit j <br />Divisian of Minerals and Geology <br />ANNIVERSARY DATE: December 9, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />c~ lv1 <br /> <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 />shall submit the armua] fee, a report and map showing the extent of current disturbances to affected land, _ <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 ~nnr revised written annual report and annual reTnnrt main to this form. Please ttote 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 information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard Connell <br />Permittee Name: Connell Resources <br />Address: 4305 E. Harmony Rd. <br />Fort Collins, CO 80528 <br />Phone Number: (970) 223-3151 <br />`^"`°`Fax Number::...: (970)-223-3I9i - _- _ <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 />ature of Corporate Officer, Owner, or Designee <br />Date <br />