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\. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNTIAT. FF,F, and RF.PnRT RF.OTTFST <br />RECEIVED <br />Running Creek Ranch <br />M-1985-003 <br />Freuud Pit <br />Apri122, 2004 <br />1~ 0 7 <br />Division vt Minerals anJ Cevlvgy <br />$688.00 (Due on or before your anniversary date) <br />Elbert <br />According to.C.R.S. 34,32.5-116 or C.R.S. 34-32-11 ~, 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 yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anm~al re~nrt and anm~al report maw 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: Joseph D. Freund <br />Permittee Name: Running Creek Ranch <br />Address: 15460 E. Batavia Dr. <br />Aurora, CO 80011 <br />Phone Number: <br />Fax Number: <br />(303)341-9310 <br />(303)360-8332 <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 wptt~n report and map. Annual Report instructions are enclosed. <br />Owner, or <br />Date <br />