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1~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Las Animas County <br />M-2000-053 <br />Castillo Pit <br />June 12, 2002 <br />RECEIVED <br />JUN D 6 2002 <br />$281.00 (Due on or before your anniversa~~~~~f Minerals and Geology <br />Las Animas <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division. records indicate the following permittee'contact informaron. Please verify and make any necessary <br />changes: /J <br />Permittee Contact: ^^-`-acerv / ~F~ L ~/lJte[;`/1//~//ff//~ <br />Permittee Name: Las Animas County <br />inn r n_ n- ~/~ ~ G <br />Address: -zvo-c. ~c~r~. 1~4 i l/1/A7h`7t~ !~~ _ <br />Trinidad, CO 81082 <br />Phone Number. (7l9) 846.44-86- ~ / 3 ~ <br />Fax Number: (719) 846-74H0- r~ ~f_~ ~ <br />If you have additional comments and/or information that should be provided to the Division, picase provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporal Officer or O~/ner <br />S` 2 ~ <br />Date <br />