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<br />ANNUAL FEE and REPORT REQUEST <br /> <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Running Creek Ranch <br />M-1985-003 <br />Freund Pit <br />April 22, 2002 <br />RECEIVED <br />Division of Minerals aa~ G~aietlY <br />$688.00 (Due on or before your anniversary date) <br />Elbert <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation' accomplished [o date and-during the prece8ing year; new disturbances tl~ai-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 vour revised written annual reaart and annual reuort maa to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permi[[ee contact information. Please verify and make any necessary <br />changes: <br />Pernrittee Contact: Joseph D. Freund <br />Permittee Name: Running Creek Ranch <br />Address: 15460 E. Batavia Dr. <br />Aurora, CO 80011 <br />Phone Nnmber: <br />- Fax Number: <br />(303)341-9310 <br />(303) 360-8332 _ _ ,_ <br />If you have additional comments and/or information [hat should be provided [o [he Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed. <br />~rignatu of Corporate Officer or Owner <br />~ ^~ ~~~ <br />Date <br />M:IPERM ITMASTERDOCUMENTSN4-AF-01 <br />