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:_ ~ ~J <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 />Big R Construction Company <br />M-1988-052 <br />Big R Pit <br />August 16, 2002 <br />RECEIVED <br />JUL 2 9 2002 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Elbert <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 sdbmit-the annual-fee, as ieport'and'map showing'the extent-of-current-distur'oances-to-affected--land;- -- <br />reclamation accomplished to date and during [he 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 [he 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 map thnt 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: Gregory D. Thomas <br />Permittee Name: Big R Construction Company <br />Address: 43160 CR 17-21 <br />Elizabeth, CO 80107 <br />Phone Number: (303) 841-3970 <br />Fax Number: (303) 646-9233 <br />303- ~~{~- ~'t~ <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 art enclosed. <br />_~ <br />Signature of orporate Officer or Owner <br />~ 6 <br />Dat <br />M:NERMITMASTERD000 MENTSIM-AF-01 <br />