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~~ <br /> <br />RECENED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Moffat County <br />M-1992-007 <br />Tuttle Pit No 1 <br />March 5, 2003 <br />FEB 0 51003 <br />Qivision o} Minerals and GeoloAY <br />$688.00 (Due on or before your anniversary date) <br />Moffat <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 repgrt and annual rernrt man to this form. Please note that an <br />adequately labeled map that clearly delineates and insludes 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: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Phone Number: <br />Fax Number: <br />Craig, CO 81626 <br />(970)824-3211 <br />(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 attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />STOCKPILE REDUCTION ONLY - NO MAP NECESSARY <br />'~ .'11 D ..f /Jr~se~ <br />Signature~rporate Officer, Owner, or Designee <br />Billy E. Mack, Interim Director <br />January I6. 2003 <br />Date <br />M:~PERMIrIMASTERDO W MENTSVvi-AF-04 <br />