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PERMITTEE NAME: R E Monks Construction Co. ,u~ O 6 <br />PERMIT NO.: M-1986-025 <br />OPERATION NAME: Mitchell MineNol IlivisipaulMiaoralsondGaolopy <br />ANNNERSARY DATE: July 29, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: EI Paso <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 date and during the preceding year, new disturbances that are anticipated to occur <br />during the 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 ynnr revised written anm~al report and anm~al report m M this form- The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: ~ report, and associated <br />map (At13 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dennis Good <br />Permittee Name: R E Monks Construction Co. <br />Address: P.O. Box 25579 <br />Colorado Springs, CO 80936 <br />Phone Number: (719) 495-3621 <br />Fax Number: (719)495-1281 "]~9.49~j•~(p, <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 />Uwner, or llesignee <br />Date <br />