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h~ <br />~` <br />~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t/ Colorado Rose Red Corporation <br />.//M-1978-332 <br />~ Colorado Rose Red Pit <br />October 23, 2006 <br />~n~~ <br />~o a_~L- ~ <br />RECEI~E® <br />~ ocr 2 o zoos <br />Division of Reclamation, <br />Mining and Safety <br />$281.00 (Due on or before your anniversary date) <br />Lorimer <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 />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 vour revised written annual report and annual report mau to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred durinc the arevious vear and no new chances to <br />the previous year's maa are necessary, then no new moo is required, arovided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Daniel J. Liesveld <br />Permittee Name: Colorado Rose Red Corporation <br />Address: 148 Cheyenne Ct. <br />Lyons, CO 80540 <br />Phone Number: (303) 823-6023 <br />Fax Number: <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 />~6ir!yr~o~<~A ~'Y~' -~ <br />Signature of rporate Officer, Owner, or Designee <br />t't7~ ~7 ~~ <br />Date <br />