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• • III IIIIIIIIIIIIIIII <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> APR 2 6 2001 <br /> PERMITTEE NAME: ACA Products <br /> Division of Minerals and Geology <br /> PERMIT NO.: M-1998-104 <br /> OPERATION NAME: Pine Ridge Pit <br /> ANNIVERSARY DATE: April 27,2001 <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: Lake <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: Charles Murphy <br /> Permittee Name: ACA Products <br /> Address: P.O. Box 1887 <br /> Buena Vista, CO 81211 <br /> Phone Number: (719) 395-3790 <br /> Fax Number: (719) 395-3794 <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 /> - t�restcte..+ <br /> Signature of Corporate O ner <br /> 4- DI <br /> Date <br /> M:IPERNUPMASTERDOCUMENTSN-AF-01 <br />