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7/ ~' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />R E Monks Construction Co. <br />M-1983-193 <br />Monks Plant No 1 <br />July 29, 2003 <br />RECE~VEQ <br />AUG 0 S 2003 <br />Division o/Minerals and Geology <br />$688.00 (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 ymir revised written anm~al re~nrt and annnal refit 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 />Permittee Contact: Dennis Good <br />Permittee Name: R E Monks Construction Co. <br />Address: P.O. Box 25579 <br />Colorado Springs, CO 80936 <br />Phone Number: (719) 495-3621 <br />Fax Number: (719) 495-1281 <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 />Signature of Corpo a O -er, Owner, or Designee <br />-~ . a~ - o~ <br />Date <br />M:NERM nVv1 ASTERDOC UM ENTSUA-AF-01 <br />