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~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~/ ANNUAL FEE and REPORT REQUEST <br />Schuler Construction <br />`~M-2005-002 <br />Schuler Construction Pit # 1 <br />Juue 24, 2006 <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 />-7anu, rec amation accomptisned to oa`te and aunng fne preceumg yeaz,-new uistur ances that are antioipateu 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 vour revised written annual report and annual renort 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: Dave Schuler <br />Permittee Name: Schuler Construction <br />Address: <br />l <br />Phone Number: <br />_. _. \, Fax Member: <br />4520 Ramah Highway <br />Yoder, CO 80864 <br />(719)478-2442 <br /> <br />$281.00 (Due on or before your anniversary date) <br />EI Paso <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 or Owner <br />D~ ~/- O ~v <br />~~ <br />nn O~Ca~~L~-+-i a° <br />RECESQ/ED <br />"1UL 12 2006 <br />" plvlsion of Minerela end ~calopy <br />~~~a~ ~` <br /> <br /> <br />~2ltc~ <br />t~j ~0 6d .-YG~, <br />~l// C~~t.~, <br /> <br />~~~-. <br />fzj <br />~~~~.~~~ <br />