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qa <br />~s~- pc <br />PERMITTEE NAME: 'Pioneer Sand Company, Inc. ' \C~,~~,~rn <br />PERMIT NO.: ~M-1980-037-HR SEp 14 2~~8 <br />OPERATION NAME: ~ngleside Quarry ~ ~IVision of Recla <br />ANNIVERSARY DATE: October 1, 2006 Min'n8 and 3a e Y oq <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: 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 extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur _ <br />--dm~irrg-the ttpe-omiYrg-year; r c ainatiori tha3 wili 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 vour revised written annual resort and annual report maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maD. If no new disturbances or reclamation have occurred during the arevious vear and no new chances to <br />the previous year's moo are necessary, then no new moo is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933-7650 <br />Phone Number: (719) 599-8100 <br />Fax Number: <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 />siDr,/~ <br />Signaty a of iporate Offs , O ner, or Designee <br />~ ~~2,0,~ <br />Date <br />