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<br /> <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />FEB 10 2001 <br />PERMITTEE NAME: Weld County <br />Division of Minerals and Geology <br />PERMIT NO.: M-1980-120 <br />OPERATION NAME: Koenig Pit <br />ANNIVERSARY DATE: March 1, 2001 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <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, reclarnation 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 i enort map to this form. Please Hole that nn <br />adequately lnbeled Wrap that clearly delineates and includes [he 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 />Perniittee Contact: Greg Nelson <br />Permittee Name: Weld County <br />Address: P.O. Box 758 <br />IIIIH.St. <br />Greeley, CO 80632 <br />Phone Number: (970) 356-4000 <br />Fax Number: (970) 304-6497 <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 />Signatur of or//porate Officer or Owner <br />Date <br />M ~PERMIT~h1ASTERDOCl1MENTSVN-AF-Oi <br />