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<br />/~U <br />PERMITTEE NAME: Pioneer Sand Company, Inc. R~~,~r <br />PERMIT NO.: M-2000-080 VEp <br />OPERATION NAME: Pioneer Farm -- FEB ~ E/ 2~~6 <br />ANNIVERSARY DATE: _ January 23, 2006 Division of Mmereis and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Arapahoe <br />According to C.R.S. 34-32.5-1 I6 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 ynnr revised written annual reQprt and annual refit man to this form- Please note that an <br />ariegerntely labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact Jce Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933 <br />Phone Number: (303) 340-1440 <br />Fax Number: (719) 599-8882 <br />If you have additional comments and/or information that should be provided [o 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 />i-7f~//c /f~"O /~/~ 5%f ~~/S ,, . / y Hc:E'ES ,t„ /N~ O~ G/~/t0~ J i~.v/~ i.~/~ao i l ~ I~ <br />Du/:'~~~ aoa <br />Signature Coy orate Offi , t~ er, or Designee <br />J~ i ~a ~ <br />Date <br />