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~, <br />ANNUAL FEE and REPORT REQUEST <br />PERMITPEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gunnison County <br />M-1985-072 <br />Taramarcaz Pit <br />June 26, 2002 <br />i ~J <br /> <br />MAY 2 8 ~p02 <br />Oirision ~f Minerals aad GeolaltY <br />$281.00 (Due on or before your anniversary date) <br />Gunnison <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 />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o <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 maa 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: Marlene D. Crosby <br />Permittee Name: <br />Address: <br />Gunnison County <br />811 Rio Grande <br />Gunnison, CO 81230 <br />Phone Number: (970) 641-0044 <br />Fax Number: (970) 641-8120 <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 />«~~ <br />Sign cure of Corporate Officer or ner <br />Dale <br />M:~PERMITNIASTERDOCUMENTSN4-AF-04 <br />