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<br />PERMTITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/~~=;~P% <br />ANNUAL FEE and REPORT REQUEST <br />Red Canyon, LLC <br />M-1985-043 <br />Red Canyon Quarry <br />May 6, 2007 <br /> <br />~~~`F~e,r~~ <br />~~R z s zoos <br />f,7iv(slun of h;cG~rnatlon, <br />Mining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Fremont <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 />sfiall 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 for the year, if any. <br />Please attach vour revised written annual resort and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />man. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous vear'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 />Pennittee Contact: Bob Stack <br />Permittee Name: <br />Address: <br />Red Canyon, LLC <br />3131 Barrett Rd. <br />Colorado Springs, CO 80926 <br />Phone Number: (719) 576-0563 <br />Fax Number: (719) 576-0563 <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. Annua] Report instructions are enclosed. <br />/~%~ <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />