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ANNUAL FEE and REPORT REOUEST <br /> PERMITTEE NAME: Coulson Excavating Company RECEWE® <br /> PERMIT NO.: M-1979-059 <br /> OPERATION NAME: Srownwood Pit OCT 2 5 2000 <br /> ANNIVERSARY DATE: November 20,2000 Division of Minerals and Geology <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: 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 <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 your revised written annual report and annual report map 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: Richard Coulson <br /> Permittee Name: Coulson Excavating Company <br /> Address: 3609 N. CR 13 <br /> Loveland,CO 80538 <br /> Phone Number: (970)667-2178 <br /> Fax Number: (970) 667-2193 <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 Owner <br /> C���o1e•�s a aTaoon <br /> Date <br /> M:IPERMIMIASTERD000MEMSUf-AF-01 <br />