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15-AUr200E i2:41 FROM-Golcradc Division of itinerate i Geolooy +1373E3231CE <br />A1VATfiAT. FF.F. and RF.~(lRT R7'i'QiTFCT <br />PERMITTEE NAb1E: Buca County <br />T-338 P.0G2/DOE F-T13 <br />PER'~ITT NO.: M-1951-L38 <br />OPERATION NeL'~SE: Graeel Pit No 17 <br />ANNIVERSARY l7ATE: July 24, 2005 <br />ANNUAL FEE nUE: x281.00 (Due an or before;our anniversary date) <br />COUNTY: Baca <br />According W C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each ycai, on the anniversary date of the petrnit, an <br />_ . operd[oi_shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation aceomplished to date and during the pracecing year, new dishabances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming yeaz, the daces for the <br />beginning of active operations, and the date active operations ceased for dte year, if arty. <br />Plnazc aMaoh Yn3tr rev3ce writ+en annual repnrf and annual re art mao to this form. pJeaSe note that an <br />adeguatety labeled reap that clearly del='neates and includes the aLove elernents may since for a written <br />report. <br />Division records indicate the follow~rg permittee contact information. Please verify and make any necessary <br />changes: <br />Pernuttee Contact: Sill Wright <br />Permittee Name: $aca County <br />Address: 74I Main St. <br />Springfield, CO R1073 <br />Phanz Number: (?19) 523-6532 <br />Fax Number: (719) 523-6584 <br />(f you havC additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i? to this foam along with your written report and map. .Armual Report instmetions are <br />enclosed. <br />"35gnact¢e o Corporate `fficer, Owuer, or Designee <br />Date <br />:d:Q'ERMiT`M.4~TERDOi US:EN TS~N-AFa1 <br />