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<br />«i~iii~~~iiiriiiii <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Colorado City Metropolitan District <br />M-1979-158 <br />Mountain Shadows Pit <br />December 20, 2001 <br />~~ <br />RECEIVED <br />DEC 13 ?001 <br />Division o/Minerals and CeoloBY <br />$688.00 (Due on or before your anniversary date) <br />Pueblo <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 [he preceding yea:, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during [he 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 report mao to this form. Please note that art <br />adequately labeled rnnp that clear/y delbteates and includes the above elements may suffice for n n~ritten <br />report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dale-}}owsrd <br />Permittee Name: Colorado City Metropolitan District <br />Address: cnec r,_ ,. V..-+. ol. a <br />C e, 9 <br />Phone Number: (719) 676-3396 <br />Fax Number: <br />FQa~tk M~~ ~ <br />~- y, i3ct~l. 19 3GQ <br />Coloi'~~lo L'~t-~i Co 81n1~ <br />O~ <br />/'7/`t)-1076-3/7~, <br />z-~ <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 />Signature of Corporate Officer or ner <br />~a -~a .o l _ <br />Date <br />M. W ERMfM1ASTERDOCl1A1EM'SN1-AF~6i <br />