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~;~ ~ ~ <br />^~ <br />r, <br />:- ~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ <br />ANNiiAI. FF.F, and RF.PnRT RF.(~T1F.ST <br />APC Southern Construction Co., LLC <br />1/M-2002-118 <br />~E~EI`~ED <br />JUN 0 81006 <br />UivisionalMinarataaadGaWopr <br />Velarde Pit <br />June 9, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Huerfano <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 your revised written anneal re~nrf and anneal re~nrt map 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: Richard L. Pounds <br />Permittee Name: APC Southern Construction Co., LLC <br />Address: 31 Werner Rd, Suite B <br />Penrose, CO 81240 <br />Phone Number: (719) 372-6974 <br />Fax Number: ~~~_ 3~~ -j0y`~ <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 Corporate Officer, Owner; or Designee <br />~ ~Dio /CU <br />Date <br />