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29-AUG°2D05 10:28 FF9ii-Colorado Di ~islor~ o! Mlinarala L Caol oos i13D3f 3291 D6 <br />~~ ~4~~T <br />?ERRIITTEE NAIvIE' <br />PF12h11T NO : <br />OPERATION NAME: <br />AN1~IV ERSA1t'd RATE: <br />A:VIvIJAL FEL' DUE: <br />COUN'CY: <br />S~~chulerTerracing ~~ <br />/il~I-1995-095 <br />Simla Highway Pit <br />T-4'3 P.Ot4/702 <br />lF-9'7 <br />bm~ <br />~~C°~sp a.,~ <br />u ~ 2005 / <br />~(70ieision ni ftliu;,; ~1; C Cool00Y <br />July $, 2005 <br />S2$I.00 (Due on or before your annlvarsary dute) <br />El Pam <br />According to C.R.S. 34.32.5-116 or C.R.S. 34-32d l6; each year, on the anniversary date of thz permit, an operator <br />shall submit the aanual fee; a report and map showing the extent of eturent disttrbances to affceted land, <br />reclamation accomplished to Sate and dtu'ing the preceding year, new disturbances that ate anticipated to occur <br />dtuing the upcoming year, reeian:ation that will be performed during the coming year, the dates for the beginning <br />of active opertions, and the date active operations ceased for *.lre year, if any. <br />Ples,sa aM+rh y~y!r revised wriHrn anne+91 repn~ bpd annaai repot m to this form. Please pole !h¢1 an <br />adequately labeled tnap tkat clearly delineates and includes the abrve elements tray su~ce~ or n wrillen repart. <br />Division records indicate the folloain$ pennitte+: convict information Please verify and make any necessary <br />changes: <br />Pennittee Contact: Henry A. Schuler <br />Fermiriee Name: Schuler Terracing <br />Address ~ ] 0 Can'bou St <br />PYione Number: <br />Fax Number: <br />P.O. Box 39& <br />Simla, CO $0$35 <br />(719) 541-2396 <br />~~ <br />Yf you have additional comments and/or infornation that should he provided io the f)itidsion, please provide it <br />below or attach it to this form alonb with your writ!en report and map.. ,4nnual Report instructions are anclosed. <br />_ ~i <br />Signature of rporate Ol£cer. Gwner, or De9ignee <br />D•utE <br />>~ <br />