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~F ~ ~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RE ~ ST <br />Pioneer Sand Company, Inc. <br />M-1980-037-IIR <br />Ingleside Quarry <br />October 1, 2007 <br />$$791.00 (Due on or before your anniversary date) <br />Lorimer <br />RECEIVED / <br />SEP 2 8 'LUU7 v <br />Division of Reclamation, <br />Alining end Safety <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 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 dates for the beginning <br />of active operations, and the date active operations ceased far the year, if any. <br />Please attach vour revised written annual report and annual report maq to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous veer and no new chances to <br />the previous year's map are necessary, then no new map 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: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933-7650 <br />Phone Number: (719) 599-8100 <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 />.iCL A75~+Dt/J~l® . <br />~' atur f Corporat f cer, Owner, or Designee <br />,~/ ,Y/~ <br />Dato <br />