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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Pioneer Sand Company, Inc. <br />M-2000-080 <br />Pioneer Farm <br />January 23, 2004 <br />JAN2)~ <br />Divisan oflyinorataan/GeologY <br />$688.00 (Due on or before your anniversary date) <br />Arapahoe <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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 comins year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ymlr revicrd written anneal report and anneal report man tr. [hie form. Please note that an <br />adequate/v labeled map that clearly delineates and includes the above elements may suffice for n \rritten report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company. Inc. <br />Address: 5000 Northpark Dr. <br />Colorado Springs, CO 80933 <br />Phone Number: (303) 340-1440 <br />Fax Number. (7l9) 599-8882 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to [his form along with your written report and map. Annual Report instructions are enclosed. <br />,t~~.~i,/G A~Ti/iT s.,>YS L~r+~ThD /mss /~F~-sT c/~,e~e_ TI/`~ •°t/~ 0~ i`r.lE <br />~c=.si ~.~T- <br />Sie re of rporate Of er, weer, or Designee <br />/- a3- ~ y <br />Date <br /> <br />,\C PERMIT`h1,1JTERD000\I[NTS'hl-,\F-01 <br />