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i UL-2005 15:51 FROM-Colorado Divisicn at Minerals Z Gedasy +13039329106 T-990 P.003/003 F-992 ~,M~n <br />"~ gJ,N~h P <br />PERMTI"fEENAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Rougm Cut, LLC <br />M-2001-033 <br />Rough Cut Pit <br />RE_~EIVE® <br />J~~L 1 2 2005 <br />Oivisian of Minerals and Geology <br />July 17,2005 <br />$688.00 (Due on or betorc your anniversary date) <br />Otero <br />According to C-R.S. 34.32.5-! 16 or CRS. 34-32-I 16, each yeaz, on the :urrtiversary date of the permit, an operator <br />shall submit the annual fee, a report and snap showing the extant of current disturbances to affected land, <br />reclamation accomplished m date and during the proceding year, new disturbances that arc anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the does for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />pl sae a arh Xoor revised wrinee anneal report Bed anm.at rnnort mnrtn thix fere.~ please note that an <br />adequately labeled Wrap that clearly delineates and Includes the above elements may suffice far a written report. <br />Division records indicate the following permittee contact information. Please verify and eta&e any necessary <br />changes: <br />Pemtittee Contact: Alan Frantz <br />Pcrmittee Name: Rough Cut, LLC <br />Address: 15645 Rd. GG <br />Rocky Ford, CO 81067 <br />Phone Number: {719) 254-4576 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Divisior+, please provide it <br />below or attach it to this form along with your written report and map. Amtttal Report instructions are enclosed- <br />Date <br />