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III IIIIIIIIIIIIIIII <br /> 99 <br /> ANNUAL FEE and REPORT REQUEST RECEIVED v <br /> PERMIITEE NAME: Solberg Solberg& French APR 0 6 1001 <br /> PERMIT NO.: M-1981-044 Division of Minerals and Geology <br /> OPERATION NAME: Solberg Pit <br /> ANNIVERSARY DATE: April 7,2001 <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: El 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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning 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 mote that an <br /> adequalely labeled neap that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Robert A. Solberg <br /> PermitteeName: Solberg Solberg& French SoCbehg GhaveC, LLC <br /> Address: 13745 Garrett Rd. <br /> Peyton, CO 130831 <br /> Phone Number: (719) 683-3198 _ <br /> Fax Number: 719- 683-4373 <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 <br /> enclosed. <br /> Signature of orpor to Officer clipoiGer <br /> G <br /> Da <br /> M:IPE R NIITUUSTERDOCUM ENTSVd-AF-01 <br />