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<br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Valco -Lamar Div. <br />PERMIT NO.: M-1977-223 FEB 0 4 2002 <br />OPERATION NAME: Wiley Pit <br />ANNIVERSARY DATE: February 7, 2002 Division of Minerals and Geology <br />ANNUAL FEE DUE: 5688.00 (Due on or before your anniversary date) <br />COUNTY: Provers <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 land, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated to occur <br />during the upcoming year. reclamation that will be performed during the coming year, the dates for the beginning <br />of alive operations, and the date active operations ceased for the year, if any <br />Please attach vour revised written annual report and annual report man to this form. P/ease note that an <br />adequately labeled -nap That clearly delineates and includes the above elements may since jot a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary' <br />changes: <br />Permittee Contact: <br />George S. Gotto <br />Wayne Adorns <br />Petmittce Name: <br />Address: <br />Phone Number: <br />Fax Number; <br />Valco -Lamar Div <br />P.O. Box 591 <br />Lamar, CO 81052 <br />(719)336-2223 <br />(719)336-2224 <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 enclosed. <br />~~. <br />Signature of Corporate Officer or O er <br />(-3o-oL <br />Date <br />M-PERMIT-MASTERDOCUMENrS/M~AF-03 IXx <br />