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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Moffat County <br />M-1993-023 <br />Cross Mountain Pit 1 <br />July 1,2003 <br />$688.00 (Due on or before your anniversary date) <br />Moffat <br />RECEIVED <br />JUL 0 7 2003 <br />Division ~f Minerals and Geology <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~zclamation-accomplished-to date and-daring-the pre<i,eding year,-new disturbances tharare anticipated-CO -- <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 ym~r revised written anneal report and annual rennH m ~n to this form. Please ttote that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice 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: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Craig, CO 81626 <br />-Phone-Nutnber- -(970}'824~2TI- - <br />Fax Number: (970) 824-0356 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or aJSaeh---it~to thi ort and map. Annual Report instructions are <br />STOCKPILE REDUCTION ONLY - NO MAP NECESSARY <br />Corporate Officer, Owner, or Designee <br />June 1J. 2003 <br />Date <br />M:\PERMITUTASTERD000M ENTSU1-AF-04 <br />