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,;, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />~~ f RPT <br />ANNUAL FEE and REPORT REQUEST <br />i"R E Monks Construction Co. <br />"!~I-1983-193 <br />Monks Plant No 1 <br />~~~,~~r,~~~~ <br />1JU~ 3 2007 <br />_Dlvision of Reclamation, <br />Mining antl Safety <br />July 29, 2007 <br />~ Zglc_° ~ (Due on or before your anniversary date) <br />EI Paso <br />ok <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-3Z-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 fo 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. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />mag. If no new disturbances or reclamation have occurred durin¢ the previous Year and no new changes to <br />the previous year's man are necessary. then no new man is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dennis Good <br />Permittee Name: R E Monks Construction Co. <br />Address: P.O. Box 25579 <br />Colorado Springs, CO 80936 <br />Phone Number: (719) 495-0467 <br />Fax Number: (719) 495-1281 <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 />Signature of Cor r O er, Owner, or Designee <br />-t -as.o~ <br />Date <br />