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999 <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: Pioneer Sand Company, Inc. OCT 17 2001 <br /> PERMIT NO.: M-1977-057 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Fedinec Pit <br /> ANNIVERSARY DATE: November 22,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Moffat <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, 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 your revised written annual report and annual report map to this form. Please date that all <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Joe Kraig <br /> Permittee Name: Pioneer Sand Company, Inc. <br /> Address: P.O. Box 7650 <br /> Colorado Springs, CO 80933 <br /> Phone Number: (719) 599-8100 <br /> Fax Number: (719) 593-0167 <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 /> /✓O lve?—f l7 TG RRPoiQT J Py1Ty6/11�j H++/r of /F AN y /�'tiivG <br /> E,���cTdo .✓�x1- y��. <br /> ACM <br /> Sigh p e of orporat f 'cer or Owner <br /> lte /O /l <br /> Date <br /> N1 IPERAIITMASTERDOCUAIENTSW-AF-01 , <br />