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C~° til <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ ~ ~Pi <br />Pete Lien and Sons, Inc. ~'/' <br />t/!GI-1977-304 <br />Rex Quarry -Sec 36 <br />~,~_ , - .y <br />0 9 2005 <br />~~7ieisimi ai Illi;.cr:s L EcolcpY <br />September 26, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Larimer <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_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 ynnr revised written anneal report and anneal re~nrt man fn this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above edements 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: Lecia Craft <br />Permittee Name: Pete Lien and Sons, Inc. <br />Address: P.O. Box 767 <br />Rapid City, SD 57709-0440 <br />Phone Number:_ _(605).9392693_. <br />Fax Number: <br />he \\v t~ ~cK~a'l~ <br />~. ~ POX 4u~ <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 />Signatur~rate Officer, Owner, or Designee <br />q -(~ - 05 <br />Date <br />