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<br />PERMI'I'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Pulpit Rock Investments, LLC <br />M-1999-071 <br />"B" Street Project • North Pit <br />September 16, 2002 <br /> <br />RECEIVED <br />AUG 152002 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />EI Paso <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 <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 vour revised written annual report and annual report map to this farm. Please note that an <br />adequately /abe/ed map that clearly delineates and inc/rides 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: Jerry Novak <br />Permittee Name: Pulpit Rock Investments, LLC <br />Address: 6385 Corporate Dr., Ste. 200 <br />Colorado Springs, CO 80919 <br />Phone Number: (719) 785-3239 <br />FazNumber: ' -"(7I9j4'57=1'023 <br />If you have additional comments and/or information that should be provided [o 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 />Sign~Y e of Co orate Officer, Owner, or Designee <br />~/i z <br />Date <br />M:~PERM nwf ASTERDOCUMENTSN4-AF-01 <br />