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07-SEP-2005 08:16 FROl~Colorado Division of IAinarals & Geolosy +13038328106 <br />,~~~~~~ <br />PERMITTEE NAME: <br />PERMIT NO._ <br />OPF.RATTON NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE- <br />COUNTY: <br />Snowstorm Sand & Gravel, LLC <br />~h1-1983-084 <br />Snowstorm Placer <br />3uly 28, 2005 <br />T-528 P.004/004 F-064 <br />~` <br />tr~ <br />~SEP 0 8 2u05 <br />/~ Oiuisian of Minerals & GenIoOY <br />$b88.00 (Due on or before your anniversary date) <br />Ysrk <br />According to C_RS. 34-32.5-116 or C.RS. 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 to date and during the preceding year, new disturbances that are anticipated to occw <br />d"^n~ the upcomi-^o year, reclamation that will be performed during the coming year, the dates far the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />PI n~h~nt~r revic. d~ ws ritten anno~pnrt and annnal report man to thix fnrm_ Please note that an <br />adequately labeled map that clearly delineates artd includes the above eletnenes may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Perrrtittee Contact: Haxofdt'fovtt~ <br />Permittee Name: Snowstorm Sand & Gravel, LLC <br />Address: P.O. Bo:t 388 <br />Fairplay, CO 80440 <br />Phone Number: (719) 836-0817 <br />Fsx Number: (719) 836-0926 <br />Paul Barnes <br />1f you have additional comments and/or infomtation 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 />Signatrrre of Corporate Officer, Owner, or Designee <br />September 7, 2005 <br />c% <br />Dste <br />