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d ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~ Valco -Rocky Ford Div <br />PERMIT NO.: ~M-1977-222 <br />OPERATION NAME: Rocky Ford South Pit <br />ANNNERSARY DATE: January 25, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Otero <br />r~, ... <br />of-I~~ d1 <br />IdEC~IVE® <br />`~dpN 17 2007 <br />Div+s~on o, nation, <br />Mining any Saiaty <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected ]and, <br />cr-Clamatla-ii accomplished to date and-during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning <br />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 maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the previous year's map are necessary. then no new mao is required, arovided that the Operator shall state <br />this in the Annual Resort. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice1or a written report. <br />-Division -records indicate the following permittee~sntact-information-Please verify-and~nake-an}rnecessary - <br />changes: <br />Permittee Contact: ~'eytte-Adams <br />-i-I-~r~ K. ~-e~.,~so~ <br />Permittee Name: Valco - Roclry Ford Div <br />Address: P.O. Box 550 <br />Roclry Ford, CO 81067 <br />Phone Number: (719) 254-7461 <br />Fax Number: (719) 254-7462 <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 enclosed. <br />~~~~.~ <br />Signature of Corporate Officer, Owner, or Designee <br />~~~I-o7 <br />Date <br />