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999 <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEE NAME: Colorado Rose Red Corporation RECEIVED <br /> PERMIT NO.: M-1978-332 OCT 15 <br /> 2001 <br /> OPERATION NAME: Colorado Rose Red Pit <br /> ANNIVERSARY DATE: October 23, 2001 <br /> Division of Minerals and Geology <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Larimer <br /> According to C.R.S. 34-32.5-1 16 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 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 dales 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. 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 permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Daniel J. Liesveld <br /> Permittee Name: Colorado Rose Red Corporation <br /> Address: 148 Cheyenne Ct. <br /> Lyons, CO 80540 <br /> Phone Number: (303) 823-6023 <br /> Fax Number: <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 orporate Officer or Owner <br /> Date <br /> M:\PERAI rI V.IASTER DDC UM ENTSV.I-A F-01 <br />