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H,,. ;~ <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />City of Colorado Springs <br />M-1992-074 <br />Clear Spring Ranch Pit <br />March 12, 2003 <br />RECEIVEp <br />FEB 2 5 2003 <br />Division ~f Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />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 <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 ~r revised written anmlal re~nrt and anneal re oI1 rt m ~n to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice 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: Rebecca A. Davies <br />Permittee Name: City of Colorado Springs <br />Address: P.O. Box 1103 Mail Code 940 <br />Colorado Springs, CO 80947-000 <br />Phone Number: (719) 668-8672 <br />Fax Number: (719) 668-8666 <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, Own~~e , ar~ Hesignee <br />al FP~r>~t.~u aoo ~ <br />Date <br />M:\PERMnIMASTERDOCUMENTSU9-AF-04 <br />