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t <br />PERMITTEE NAME: <br />PF,RMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Cl.~ <br />'''? <br />Coulson Excavating Company, Inc. <br />M-2002-078 <br />Stroh Pit <br />February 1, 2006 <br />~~CE9V~~ <br />JAN 2 5 2006 <br />Olvision of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Lorimer <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 operator <br />shall-submit^the annual-fee; a'report-and-map showing the zactern-of-current-disttffbances-to-affected-land; <br />reclamation 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 year, the dates for the beginning <br />ol~ active operations, and the date active operations ceased for the year, if any. <br />Please attach y~nur revised written annnal report and annual re~nrf main to this form. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Penmittee Contact: Ken Coulson <br />Permittee Name: Coulson Excavating Company, Inc. <br />Address: 3609 N CR 13 <br />Loveland, CO 80538 <br />Phone Number: (970) 667-2178 <br />Fax Number: (970) 667-2193 <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 />No mining has begun at the Stroh Pit. Final I,ari~r County permitting is still in <br />process. <br />~n.nn . e~~o~...... <br />Signature of Corporate ffic ,Owner, or Designee <br />Diana Moneypenny, Secretary <br />January 20, 2006 <br />Date <br />