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. ' --. <br />CTEE NAME: <br />C NO.: <br />TION NAME: <br />ERSARY DATE: <br />\L FEE DUE: <br />Colorado Department of Transportation <br />M-1996-007 <br />RECE`VED <br />APR21~ <br />Division of Minerals and DaalapY <br />Spring Creek Pass <br />May 2, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Hinsdale <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 pertnit, 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 Yo <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 />^hwnnr revised written annnal report and annnal report main to this form. please note that an <br />labeled map that clearly delineates and includes the above elements may suffice for a written <br />records indicate the following permittee contact information. Please verify and make any necessary <br />Contact: Eric Prieve <br />Name: Colorado Department of Transportation <br />4340 E. Louisiana Ave. <br />Denver, CO 80222 <br />Phone Number: (303) 757-9269 <br />Fax <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 />~ ~.y <br />of Corporate Officer, Owner, or Designee <br />968 7ou5 R~nav~~ <br />Date <br />