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� .- � - • III IIIIIIIIIIIIIIII • � <br /> 999 <br /> ANNUAL FEE and REPORT REOUEST RECEIVED <br /> PERMITTEEi NAME: Oaklands Ranch SEP 18 2001 <br /> PERMIT NO.: M-1989-092 Division of Minerals and Geology <br /> OPERATION NAME: Oaklands Ranch <br /> ANNIVERSARY DATE: October 26,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Douglas <br /> According to C.R.S. 34-32.5-1 16 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 your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled rnap 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: David Curtis <br /> Permittee Name: Oaklands Ranch <br /> Address: 1613 N. Perry Park Rd. <br /> Sedalia, CO 80135-8511 <br /> Phone Number: (303) 688-4285 <br /> Fax Number: - <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> below or attar h it to this form along with your written report and map. Annual Report instructions are enclosed. <br /> y <br /> 4�- <br /> t azure of Corporate Officer or Owner <br /> Date <br /> M'WERM nVAASTE RDOCUM ENTSW AF-01 <br />