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<br />PERMITTEE NAME: Lincoln County RECEI VE® <br />PERMITNO.: M-2000-066 ~(~~ ~' 6003 <br />OPERATION NAME: Raymond Enderson Pit <br />OiYision ~f Mineral <br /> <br />ANNIVERSARY DATE: <br />July 12, 2003 s and Geology <br />ANNUAL FEE DUE: $281.00 (Due on or before you r anniversary date) <br />COUNTY: Lincoln <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 />operator shall submit the annual fee,,-a report and map showing the extent of current disturbances to affected <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 attach your revised written annual rennrt and annual rennrt man in this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffrce 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: Don Blake <br />Pertnittee Name: Lincoln County <br />Address: P.O. Box 39 <br />Hugo, CO 80821 <br />- F~one Number.--(719j-743-23-37-- - - - - <br />Fax Number: (719) 743-2815 <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. Annual Report instructions are <br />enclosed. <br />~~ ~Q~ <br />Signature of Corporate Officer, Owner, or Designee <br />~6~3 ,/03 <br />Date <br />M.\PERMITU1AS7ERD000MENTSUA-AF-04 <br />