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RECEIVED <br /> ANNUAL FEE and REPORT REQUEST <br /> OCT 2 2 8-01 <br /> PERMITfEE NAME: El Paso County Division of Minerals and Geology <br /> PERMIT NO.: M-1980-189 <br /> OPERATION NAME: Yoder <br /> ANNIVERSARY DATE: October 23,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: El Paso <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 elernents 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: RiGhaf4A2fockeT �t�(/�/Q[' i°�Uqa,�j <br /> Permittee Name: El Paso County <br /> Address: 3460 N. Marksheffel Rd. <br /> Colorado Springs, CO 80922 <br /> Phone Number: (719) 520-6860 <br /> Fax Number: (719) 520-6878 <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 /> Signature of o/rporate Officer or Owner <br /> (O/ 9/n/ <br /> Date r I <br /> MAPERMHAMASTERD(KUMENTSV4 AF04 <br />