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s`~ - <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Mesa County <br />M-1983-216 <br />Lumsden Canyon Pit <br />June 11, 2002 <br />RECEIVED <br />JUN 11 2002 <br />Oivisian of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Mesa <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 yeaz, new disturbances that aze 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 vour revised written annual report and annual resort map to this form. Please note 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: Bud Thompson <br />Pemuttee Name: <br />Address <br />Phone Number: <br />Fax Number: <br />Mesa County <br />1000 S. 9th St. <br />P.O. Box 20000-5025 <br />Grand Junction, CO 81501-5025 <br />(970)244-1811 <br />(970)256-1411 <br />\f <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 />---'---' <br />M:IPERMI7 V.IASTERDOC UMENTSNI-AF-06 <br />