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k c~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />•iANNUAL FEE and REPORT REQUEST <br />Ralph Porco, Randy Porco <br />~-2004-042 <br />Porco Pit <br />August 30, 2006 <br />~i~L <br />~t~zz-~G <br />I~~~;~la~~'~ <br />`"~~~~ R2'ZQD~on <br />aMining and atety <br />$281.00 (Due on or before your anniversary date) <br />Conejos <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~nnual~ee,_a~ep4r1_and~nap. showing tl>e_exten~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 your revised written annual report 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 />map (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />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: Ralph Porco <br />Permittee Name: Ralph Porco, Randy Porco <br />Address: 111 50 FDR 255 <br />La Jara, CO 81140 <br />Phone Number: (719) 274-4078 <br />Fax Number: <br />N p G f~ ~n a :es ~ <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 />~,~~~ <br />Signature f Corporate Officer, Owner, or Designee <br />//-// - <br />Date <br />