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~n~ <br />fFF~ PPi <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Z/MK Mine Construction Inc r <br />~'M-1991-146 <br />ZMK Gravel Pit <br />August 27, 2005 <br />LSE ~'.l~•~Pp °'-•.~ <br />~Kl1G 2 6 2005 <br />T(JDivfaion of PAi~~arois E Geology <br />$281.00 (Due on or before your anniversary date) <br />Ouray <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 accomp fished-to date and-dnrirrg-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 your revised written anneal report and anneal rennrt maT to this Snrm. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Robert A. Larson <br />Pennittee Name: ZMK Mine Construction Inc <br />Address: 342 7th Ave. <br />P.O. Box 85 <br />Phone Number: <br />Fax Number: <br />Ouray, CO 81427 <br />(303)325-4600 <br />(970) 325-4600 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corpo to Officer, Owner, or Designee <br />--~ <br />~~Z~I ~ o ~ <br />Date <br />