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Sep 22 2ll 03: 19p <br />PERMIYFLE NAnfE: <br />PERMIT NO.: <br />OPEKA'IIUN NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DLtE: <br />COl1W'I'1': <br />U Rauch Land, LLC <br />~ M-::002-096 <br />Ranch Land Rock Pit #Il <br />October 15, 2006 <br />~.it2i~ <br />~OCT 0 q ?006 <br />Division of <br />Mining and ga ery on, <br />$688.00 (llue on or before your anniversary date) <br />Fremont <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-11G, 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 />rectarr;atton accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclama[ion Coat will be performed during the coming year, 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 [•enort and annual report maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the folowing components: fee, report, and associated <br />maD. if no new disturbances or reclamation have occurred durin¢ the previous year and no ecw changes to <br />the previous year's moo are necessary. then no new man is required, provided that the Operator shall state <br />this in the Anneal Report. Please note that an adequately taheted ntap that clearly delineates nr:rt includes the <br />above el¢ments may srrJJice jar a written report. <br />[hvision records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: William Peetz <br />Permittee Namc: Ranch Land, LLC <br />Address: 3925 Hill Circle <br />Colorado Springs, CO 80904 <br />Phone Nwnber: (719) 492-0266 <br />Fax Number: (7 i9) 473-5494 <br />It' you have additional comments and/or information tha? should be provided to the Division, please provide it <br />below ov attach it to tJhi/s form along with yourwrinen reJport and map. Annual Report instructions are enclosed. <br />~~~D ~/lA~~/.~il~~ GCG <br />Signature of Corporate U ~ r, wmer, or eugnee <br />~~~ --- <br />ate <br />/22~'/Z- <br />ia -i~ -~~ <br />