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���' ������������� ��� ! APR 0 9 2001 <br /> 999 <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> MAY 0 12001 <br /> PERMITTEE NAME: Yuma County Dirlslon of Minerals and Geology <br /> PERMIT NO.: M-1999-047 <br /> OPERATION NAME: Adamson Bros.Mine <br /> ANNIVERSARY DATE: May 10,2001 <br /> ANNUAL FEE DUE: $225.00(Due on or before your anniversary date) <br /> COUNTY: Yuma <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-11b,_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 report and annual report map to this form. Please note that an <br /> adequately labeled Wrap 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: n <br /> Permittee Contact: Rich W. Brown (✓p a <br /> Permittee Name: Yuma County <br /> Address: 1310 S. Blake St. �/ /'0 <br /> Wray,CO 8075897 <br /> �� 7 O <br /> Phone Number: (970)332-5718 00 • X 71e <br /> Fax Number: (970) 332-3429 970 - _ <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 /> Signature of Corporate Officer or Owner <br /> hr - // — o/ <br /> Date <br /> Al TERMITNIASTER)000IvfNTSNI-AF-00 <br />