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iiniiiiii <br /> ANNUAL FEE and REPORT REOUEST <br /> v el <br /> PERM=E NAME: Billy Hale and Bonnie Solberg ,U�, 19 Ito a68oto9y <br /> PERMIT O 9 OPERATION NAME: Hale Pit aka Earl's Pit <br /> ANNIVERSARY DATE: July 23,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: El Paso <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: Billy Hale and Bonnie Solberg CF.PR.contact_last_name <br /> Permittee Name: Billy Hale and Bonnie Solberg <br /> Address: 7595 California Dr. <br /> Colorado Springs, CO 80922 <br /> Phone Number: (719)495-2592 <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 <br /> enclosed. <br /> Signature of Corp rate Officer or Owner <br /> 7— / 7— O/ <br /> Date <br /> M:TERMFMASTERDOCUMENTSW-AF-01 <br />