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<br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Pioneer Sand Company, Inc. RECiE~VE~ <br />PERMTT NO.: M-1985-082 DEC 1 !~ ~^^,? <br />OPERATION NAME: Rock Pit Mine Division of Miner;,;:; aa3 G,:e:~gy <br />ANNNERSARY DATE: December 30, 2002 <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 [he year, if any. <br />Please attach vour revised written annual report and annual report map to this form. Please gore that an <br />adequately labeled map that clearly delbteates and includes the above elentenrs may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Petmittee 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: (7l9) 598-7605 - - <br />If you have additional comments and/or information [hat 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 ~ri.,ir...G ~cT.~~% gcc~,eR~D Ou/t,,.~G T7/~ pasTy//'2_ ~~ ,'`i~~ <br />~,r F~~ is G'ar2.2.~~7~ <br />Signatu~ o to Off' r, Owner, or Designee <br />/ ~~8 /~ <br />Date <br />1,1:V'ERMITMASTERDOCUMEMSUI-AF-O7 ~ <br />