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.. ~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Lucio Vasquez <br />M-1994-121 <br />Vasquez Quarry No 2 <br />April 13, 2003 <br />RECESVED <br />APR 2 4 2003 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Boulder <br />- According to C.R.S. 34-32.5=1-16 or E.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 />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 annual report and annual 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: Lucio Vasquez <br />Permittee Name: Lucio Vasquez <br />Address: 2425 I-25 W. Frontage Rd. <br />Phone Number: <br />Fax Number: <br />Erie, CO 80516 <br />(303) 828-5464- _ _ _ _ <br />(303)828-5465 <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 />M iPERMITMASTERDOCUMENTSV.I-AF-01 <br />