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_-~' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />b~l-~,~ R~~fVL~ <br />'~ FEB 16 2006 <br />T/ANNITAi. FF.F, and RF.Pt7RT RF,(li1F.ST <br />v6iWewn of Minerals and Geology <br />Fremont County <br />~/fiI-2001-087 <br />Indian Springs Park Pit <br />February 11, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Fremont <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 />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <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 attachynnr revised written anm~al report 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 <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Paul Garrett <br />Permittee Name: Fremont County <br />Address: 615 Macon Ave., Room 105 <br /> Canon City, CO 81212 <br />Phone-Number: (719)-942-4232 ~ -- ---- - -- - - - - <br />Fax Number: (719) 276-7321 <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. Annua] Report instructions are <br />enclosed. <br />M:~PERMINSASTERD000MENTSNI-AF-04 <br />