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d'~~ <br />t/ANNTJAT. FF,F. and REPORT RF.OTTF'ST <br />RECE6~,~EC <br />PERMITTEE NAME: / C//ity of Colorado Springs <br />PERMIT NO.: i/M-1992-074 Y MAR 10 2006 <br />OPERATION NAME: Clear Spring Ranch Pit vAiMidleq of Minerals ants 6wlpdy <br />ANNNERSARY DATE: March 12, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: 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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />Land; reefismation~ECar~i is ed-to date an~'dunn"-g tlSe preceding year, new distur aces tha are an icipate t-~-o -- <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 anneal rennrt and anneal report m ~n to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Rebecca A. Davies <br />Permittee Name: City of Colorado Springs <br />Address: P.O. Box 1103 Mail Code 940 <br />Colorado Springs, CO 80947 <br />Phone Number: (719) 668-8672 <br />Fax Number: (719) 668-8666 <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 Corporate Officer, Owner, or Designee <br />Date <br />M:IPERMIIIMASTERDOCUMENTSUI-AF-04 <br />