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~~ <br />PERMTITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />J/ ANNTiAi, FF.F, and RF.PnRT RF.OTTFST <br />Pitkin Iron Corporation <br />M-1982-121 <br />~ECEA~/E® <br />APR 2 5 2006 <br />Mid-Continent LST <br />April 25, 2006 <br />L 9ittislon of Minerals end fieelesy <br />$688.00 (Due on or before your anniversary date) <br />Garfield <br />-According to C.R.S. 34-32.5-116 or G.R.S: 34-32-1-16,-each yeaz,-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 aze anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming yeaz, 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 annnal report ma=n, to this form. Please note [hat an <br />adequately labeled map that clearly delineates and includes the above elements may 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: Diane Delaney <br />Permittee Name: Pitkin Iron Corporation <br />Address: CF.PR.address 1 1317 Grand Avenue, Suite 228 <br />P.O. Box 2115 <br />Glenwood Springs, CO 81602 <br />Phone Number: (970)-945=7148 -" - - - <br />Fax Number: (970) 945-2303 <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 />1g>, ~ ~5. <br />Signature of Corporate Officer, Owner, or Designee <br />a~l~ <br />Date <br />