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.~~ <br />bivl/z- <br />PERMTI'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />(~ ANNiiAI. FF.F. and REPORT RF.OiTFST <br />t/ Valco, Inc. <br />~ M-1977-560 <br />Rocky Ford East Pit <br />February 22,2006 <br />R~~~~V~~ <br />,//yam ~ 5 ?006 <br />~^~'~+~on of Minerals and C,e <br />per <br />$688.00 (Due on or before your anniversary date) <br />Otero <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 I <br />during the upcoming year, 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 your revised written anneal report and anneal rennrt m,1p to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Wayne Adams <br />Permittee Name: <br />Address: <br />Valco, Inc. <br />P.O. Box 550 <br />Rocky Ford, CO 81067 <br />Phone Number: (719) 254-7461 <br />Fax Number: (719) 254-7462 <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 />.w `//~ <br />Signatur of Corporate Officer, Owner, or Designee <br />Date <br />