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Page 2 of 5 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instructions arc enclosed. If you have <br />any questions, please feel free to contact Scottie Tate ((303) 866-3567 ext 8166) or Michelle Ramirez ((303) 866-3567 <br />ext 8114). Thank you for your cooperation in this matter. <br />11 '1llt;ANNUAI FEF SIiBMFI AltARK NO 1ti ('t;l\'I:1)(u.`, OR lit.F()RL VOI,R A\NIVF:RSARY I)AIL;. <br />1'111, i:l••1 ORCF.NiF.;\ l' (R )CF°;l, 1\11.1. AU !'(}Part 'FICA1.1 1' BF: i'Ji !'I ".'1 }.i}. F:\I'Oit(F,MF'N I: ACTIONS <br />PvIA'� <br />R( -.S1.:11.. 1' IN t'IVII, PFiti "•.I.TIE;S A\ITOR REVOCATION t; YOUR PERMIT. <br />