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! • ~~,~.~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Valco -Lamar Div <br />r <br />1,~I-1977-223 <br />Wiley Pit <br />February 7,2001 <br />RECEDED <br />FEB 0 6 1001 <br />Division of Minerals and Geology <br />$688.00 (Due ou or before your anniversary date) <br />Prowers <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 report and annual resort map to this form. Please note rlra[ an <br />adegrtutely labeled map [ha[ clearly delir:eates and includes the above elements mm~ sr ffice for a written <br />report. <br />Division records indicate the following pertnittee contact infornation. Please verify and make any necessary <br />changes: <br />Permittee Contact: George S. Gotto <br />Permittee Name: Valco -Lamar Div <br />Address: P.O. Box 591 <br />Lamar, CO 8102 <br />Phone Number: (719) 336-2323 <br />Fax Number: (719) 336 ?224 <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 forni along with your written report and map. Annual Report instructions are <br />enclosed. <br />.,~-~ <br />Signature of Corporate Officer or Owner <br />~-1301 <br />~- <br />Date <br />M ~PERh11TMASTERD000MENTSU~LAF~01 <br />