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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />('M Gt/ <br />ANNfiAi. FF,F, and RF.PnRT RFOiiF.ST <br />+/ Varra Companies, Inc. <br />/ M-1984-036 <br />Dakolios Pit No. 1 <br />RECEIV~LD <br />/ "JUN 0 1 20D6 <br />/ Division of Mintra7s and Geology <br />June 1, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accorgplish`ed`to date aiid-during`the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised wri»en annual re~nrt and anm.al reQnrF mare in this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christopher L. Varra <br />Permittee Name: Vaasa Companies, Inc. <br />Address: 8120 Gage St. <br />Frederick, CO 80516 <br />Phone Number: (303) 666-6657 <br />Fax Number: (303) 666-6743 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signa a of Corporate Of$cer, Owner, or Designee <br />~ ~ ~-t n Q Zoo C~ <br />Date <br />