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ANNiIAI. FF,F, and RF,PnRT RF.OLIF.ST <br />PERMITTEE NAME: Superior S&G c/o Rio Grande Co RECE! VCD <br />PERMIT NO.: M•1979-189 JAN 13 2003 <br />OPERATION NAME: Superior S & G Pit Division of Minerals and Geology <br />ANNIVERSARY DATE: January 13, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Arapahoe <br />According to C.R.S. 34-32.5-116 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 dates during the preceding year, new ~srur a~that are anu`cipateBTo occur <br />during the upcoming year, reclamation that will be performed during the coming year, [he 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 anneal report and anneal rennrt main to this form. Please note that an <br />adequately labeled ntap that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permi[[ee Contact: Brent B. Broekemeier <br />Permittee Name: Superior S&G c/o Rio Grande Co <br />Z/> ~/J//yD/~S' <br />Address: 201 Santa Fe Dr. <br />Phone Number: <br />Denver, CO 80223 <br />(303) 825-221] <br />__ -Fax Number: <br />(303)629-0417 <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />S ature of Corporate ~ftcer, Owner, or Designee <br />/ /3-0~ <br />T <br />Date <br />M:~PERMITVNASTERDOCUMENTSVvI-AF-OI <br />