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., ~._ <br /> <br />nD 7~b'7`~ <br />RECEIVECS~Y ~ 9 2003 <br />JUN 19 2003 <br />Division ~f Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Las Animas County <br />M-2000-053 <br />Castillo Pit <br />June 12, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Las Animas <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 io - <br />occur during [he 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 rennrt and annual rennrt man to this form. P/ease note that an <br />adequately labeled map that clearly delineates and includes the above elements 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: Phil Dorenkamp <br />Permittee Name: Las Animas County <br />Address: 2000 N. Linden Ave. <br />Trinidad, CO 81082 <br />Phone Number:` (71 <br />Fax Numbec (719) 846-"7-160- O `{3~{ <br /> <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 />M 1PERM ITVN ASTERDOCUM ENTSVv1-AF-04 <br />