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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />- ~I~rIs1IVERS:4RY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Las Animas County <br />M-1999-060 <br />Yocam Pit <br />June Y5, 2002" <br />$281.00 (Due on or before your anniversary date) <br />Las Animas <br />Division of Minerals and Geoloro <br />RECEIVED <br />JUN 0 6 20(~~ <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit [he annual fee, a report and. map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach Vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ~~ei:E-bueera~ <br />Permittee Name: Las Animas County <br />Address: <br />/~r/~ ~ lJd>ZZ E`AC~(.1 /v(~ <br />fir/ t~(~ .~ ~,v~z,x~ z/~ <br />Trinidad, CO 81082 <br />Phone Number: (719) 846-4#$Fr- ~ //` ~~7 ~/L <br />Fax Number: (719) 846-Tt6~- ~ "( ) ~1 <br />If you-have additional comments andfor 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 Corporate Officer or ~ net <br />~~~ ~~ <br />Date <br /> <br />