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bMk <br />R~CElu~p <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Billy Hale and Bonnie Solberg <br />M-1981-121 <br />Hale Pit aka Earl's Pit <br />July 23, 2004 <br />$281.00 (Due on or before your anniversary date) <br />El Paso <br />s `' <br />JUG 2 3 2004 <br />®lri9i~d nl Mioereis & Ceoloyy <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 operator <br />shall-sabr;t-thc-anrzu:.l-fee,-a-report and ma,-~!:^.-._^~,o-,--t=.-mwe e~+ ~±t-of s~uxrnt_disturbances_tn_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 anmral remQrt and annnal re~nrt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Billy Hale and Bonnie Solberg CF.PR.contact_last_name <br />Permit[ee Name: Billy Hale and Eo~ie.Setbeeg <br />Address: 2848~9-~irett; Br~et~715 <br />0 ora o prings, 57 <br />Phone Number: (714j~#93~2 <br />Fax Number: <br />(9~~ ~3as~¢~' l~ol. <br />ca,lhaw ~a/D $080$ <br />7 ~9- a3~ z~7>s <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 C to Officer~r, or Designee <br />~ -z /- o,~ <br />Date <br />