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PERMITTEE NAME; <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />v <br />Valco, Inc. <br />M-1977-560 <br />Rocky Ford East Pit <br />February 22,2003 <br />$688.00 (Due on or before your anniversary date) <br />Otero <br />RECEIVED <br />FEB t 91003 <br />Division of Minerals and GeElagy <br />-Acccudingtn t'.R.S._44-32.5=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 eztenY of current disturbances to-affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated o 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 Xnnr revised written anm~al rennrt and annual rennrt m ~n in this fnrm_ 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: Wayne Adams <br />Permittee Name: Valco, Inc. <br />Address: P.O. Box 550 <br />Rocky Ford, CO 81067 <br />=--Phone Number: ._(719) _254-746 L <br />Fax Number: (719) 254-7462 <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 />~~~ixO i L~E•N6RAG ~i9A/R(~62. <br />Sigria rtu e of Corporate Officer, Owner, or Designee <br />D~ -/3 -D3 <br />Date <br />M:~PERMITVNASTERDOCUMENTSVN-AF-01 <br />