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^ _> <br />ANNUAL FEE and REPORT REQUEST RECEIVEC <br />~u~ z~s 2orz <br />PERMTTTEE NAME: Sand Land, Inc. <br />Division of MineralSend Geology <br />PERMIT NO.: M-1999-006 <br />OPERATION NAME: Kurtz Resource Recovery & Land Devlpmnt Proj <br />ANNIVERSARY DATE: August 4, 2002 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual-fee, areport-and map showing the extent of current disturbances to-affected land, - <br />reclamation accomplished to date and during the preceding year, new disturbances [hat aze anticipated to occur <br />during [he 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 your revised written annual report and annual report man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate [he following permi[tee contact information Please verify and makh any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: <br />Address <br />Sand Land, Inc. <br />12910 WCR 13 <br />Longmont, CO 80504 <br />Phone Number: (303) 666-6657 <br />Fax Number: r (303) 666-6743 <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 fo long with your written report and map. Annual Report instructions are enclosed. <br />Signat e of Corporate Officer or Owner <br />26 July 2002 <br />Date <br />M:~PERM ^1MASTERD000MENTSN4-AF-01 <br />