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~~~ ~ , <br /> <br /> <br />Mov i ? ?coa <br />PERMITTEE NAME: Pioneer Sand Company, Inc. <br />PERMIT NO.: M-1985-082 <br />OPERATION NAME: Rock Pit Mine <br />ANNNERSARY DATE: December 30, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 an3 dunng t""he"preceding year, n- ew~ts ur a-Tti nces fit`at are anticipafefito 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 ymir revised written anm~al re~nrt and anm~al rennrt man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes 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 />Pennittee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933 <br />Phone Number: (719) 599-8100 <br />-Fax Numbers= - -- (Z19) 598-7605 _ __ _ _ <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 />/~EieE G//~.s n/o M~.~.i..iG ~}cTit/iTy %~<r ~iRs% yL'~ <br />Signa •e o~ rporate Q tce • Owner, or Designee <br />Date T,~Q ` <br /> <br />