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FRON Enal naari n9 6 9urvavi ne. Inc. <FRI)JUN 2 2006 9:1T/ST. 9: 16/RO. 7600000316 P 2 ,. ' <br />V "' <br />PERMI"1"TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE; <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ANNiTAi, FF.F. and REPORT RF,(tiTEST <br />~/ vans <br />-zooaoal <br />Evans #2 Pit <br />June 21, 2006 <br />$688.00 (Doe on or before your anniversary date) <br />Pueblo <br />RECEIVED <br />SUN 2 1 2006 <br />Division ~f Minerals and GeololY <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 extent of current disturbances to affected land, <br />reclamation accomplished tc dots and during the.prceding yeaz, new dishubances that aze ariticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the yeaz, if any. <br />Please attach ymlr revised written annnal re;~Qrt and annnal re;Rort ma-nttn this form. Please notC 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 />Pennittee Contact: C.R (Dick) Evans ~l[./i ISM C9'D L~~O ~~-~ (/ ' <br />Pemrittee Name: CR Evans <br />Address: 231 Nyberg Rd. yl' ~ ~ 9t 7J `f- <br />Pueblo, CO 81006 a,d~0/t (.c Imo, ~L~ ) a ~ S <br />Phone Number: (719)948-4528 '7 ~ ~ 'a-]S- ~~(~'p~r/ <br />Fax Number: ~ 19 - e2 ~s `" ~ ~ % J <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 aze enclosed. <br />i re of Corporate Officer, Owner, or Designee <br />Date <br />