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03/20/2004 22:46 7192751200 TCI CANON CITY PAGE 02 <br />r <br />ANNiIAL k~E and T REQiJEST <br />PERMITI'EE NAME: /Thermal Ceramics Inc. ~ `~~°'-'6 ~'~''4"~j <br />PERMIT NO.: / M-1990-143 / Fif1R 0 9 7_Q67 <br />OPERATION NAME: Stone City Mine rviston o' ., . _;ion, <br />ANNIVERSARY DATE: March 14, 2007 ~ dining ~.:;~ So~aty <br />ANNUAL FEE DUE: $$281.00 (Aue on or before your anniversary date) <br />COUNTY: Pueblo <br />According to C.RS. 34,32.5-116 or C.K.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />_ _shall submit the annual fee,..a report_and_reap__skwwaslg_the extent_.of_cuaeut disturbaxlccs-to affected land,. <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated to occur <br />during the upcoming year, reclamation that will be perfozmed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased fox the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met uoUl we Lave received the following components: fee, report, and associated <br />ma if no new disturbaoces or reclamation Lave occurred during the previous veer and no new cbang_es to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately Zabeled 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 />Pexmittee Contact: Chaster Jones <br />Petmittee Name: Thermal Ceramics Inc. <br />Address: 515 South 9th St. <br />Canon City, CO 81212 <br />Phone Number: (217) 627-2101 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />bcl attach it to this form along with your written report and map. Annual Report instructions axe enclosed. <br />Sign~at7ure o to Officer, Owner, or Designee <br />7£ a . Z~ x-00 7 <br />Date ' <br />