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�������� ��� •a1C# tot RECEIVED <br /> OCT 2 4 2000 <br /> ANNUAL FEE and REPORT REQUEST Division of Minerals and Geology <br /> PERMITTEE NAME: Richard Fryrear <br /> PERMIT NO.: M-1998-071 <br /> OPERATION NAME: Fryrear Gravel Pit <br /> ANNIVERSARY DATE: November 6, 2000 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Yuma <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 map that clearly delineates and includes the above elements may since 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: Richard Fryrear <br /> Permittee Name: Richard Fryrear <br /> Address: 8085 CR 13 <br /> Haxtun, CO 80731 <br /> Phone Number: (970) 774-6551 <br /> Fax Number: <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 /> Signature of Corporate O fic or Owner <br /> /O1L3 /o 0 <br /> Date I <br /> \ M TERS11-RMASTERDOCUMENTMM-AF-01 <br />