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999 <br /> ANNUAL FEE and REPORT REQUEST <br /> RECEIVED <br /> PERMITTEE NAME: Harold A Winter <br /> OCT 2 9 200, <br /> PERMIT NO.: M•1985-165 <br /> OPERATION NAME: Winter Ranch Pit <br /> OtvisionptMineralsandCeplpA� <br /> ANNIVERSARY DATE: November 26,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Las Animas <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_shawing_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 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 since for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact Harold A. Winter <br /> Permittee Name: Harold A Winter <br /> Address: 20157 CR 75.0 <br /> Trinidad,CO 81082 <br /> Phone Number: (719) 846-3570 <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 enclosed. <br /> Si ature of Corporate Officer or Owner <br /> 10-25-2001 <br /> Date <br /> M�ERMIIWASTERDOCUMENTSN7-AF 01 <br />