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f'!/~L- <br /> ,~~~ <br /> <br /> <br /> 1/ A NNi1Ai. FF,F, and RF,PIIRT RF.niTFST ~~N 26 Z~ <br /> <br />PERMITTEE NAME: ~ William & Beverly Caldwell and Albert & Lolaa N~ esselhutlneralsandpealopy <br /> / <br />PERMIT NO.: t M-1997-071 <br />OPERATION NAME: Caldwell-Nesselhuf Pit No. 1 <br />ANNIVERSARY DATE: June 30, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Crowley <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 ear;-new-disturbances hat-are-anticipated-to-occur <br />during the upcoming yeaz, 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 year, if any. <br />Please attach ym~r revised written annual rennrt and annnal rennrt man to this form. Please note 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 />Permittee Contact: Albert F. Nesselhuf, Jr. <br />Permittee Name: William & Beverly <br />Caldwell and Albert & Lola Nesselhuf <br />Address: 31738 Rd 13 <br />Manzanola, CO 81058-0 <br />Phone Number: (719) 462-5236 <br />Fax Number: (917) 2-5d=3231 ~E4 ;t, ~ 8 3 ~ <br />~vwn~. ~, o ~~q r. t/ <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 />Signature of Corporate Officer, O~Gne% or Designee <br />G ~a~ ~a~ <br />Date <br />