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JUL-29-03 10:26 FROM-Colorado Division of Mlnarals d Gaol~o¢y/ +13038663561 T-234 P.003/003 F-463 <br />-~ V <br />RECEIVED <br />AUG 0 ' 2003 <br />PERMITTEE NAME: <br />PERMTT NO.: <br />OPERA]TON NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FPE DUE: <br />COUNTY: <br />U S Soil Canditioning Company <br />M-1979-206 <br />Maverick Placer <br />Tune 16, 2003 <br />$6$$.00 (Due on or before your annlveraary date) <br />Fremont <br />Division ~f Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.RS. 3A-32-116, each yeaz, on the anniversary date of the permit' an op orator <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, reclatation that will be performed during the corning year, the dates for the beg nning <br />of active operations, and the date active operations ceased For the yeaz, if any. <br />n~ a .a 'sod wrist an»z 1 rep rt sod Znnnsl rcnnrf man to this form- Please Holt t. utt an <br />adequately labeled map that clearly delineates and includs the above elements may suffice far a written rap. art. <br />Division records indicate the following permittee contact information. Please verify and make any nee °ssary <br />changes: <br />Pertnittee Contact: Joseph E. Lionelle - <br />Permittee Name: U S Soil Conditioning Company _ <br />Address: P.O. Soz 926 - <br />Salida, CO 81201 - <br />Phone Number: (7l9) 539-3535 /~7 q - <br />Pax Nurcber: {~-1'3}Sf39=353T (_/~~~ `~ ~ 9 - (~ 9 ~ - <br />tf you have addiri al w nts and/or infot'medon that should be provided to the Division, please pro vide it <br />blow or attach it o this form along With your written rtpc,n. and trap. Annual Report instructions are enclo: ed. <br />,G/ <br />Dwner, or <br />Date <br />M"FfiRMITIMASTfiRDOCUM~`M-~-0~ <br />