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~~-- <br />PERMITTEE NAME: M J Cadgene <br />PERMIT NO.: M-1983-158 <br />OPERATION NAME: Cadgene Pit <br />ANNIVERSARY DATE: January 30, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Montrose ~~ <br /> <br />RECEIVED <br />JAN 2 0 2004 <br />Division of Minerals & Goolo9Y <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 annual fee, a report and map showing the extent of current disturbances to affected land, <br />- ;eclamatiott-accomplished-to-date-ard-during-tire-preceding-year-newdisturbances-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 anneal rennrt and anneal red nrt maR to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: M. J. Cadene <br />Permittee Name: M J Cadgene <br />Address: P. O. Box 10 <br />Redvale, CO 81431 <br />Phone Number: (970) 327-4694 <br />Fax Number: (970) 327- <br />7a) ~z ~- ~zz~ <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 />c..2_ <br />Signet r of Corpor Officer, Owner, or Designee <br />/~ Z/b •~ <br />Date <br />M:NERMITUAASTERD000MENTSVN-AF-01 _ _^ <br />