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<br />C~yJ%~ <br />RECEl~11~~ <br />v JAN 0 9 2006 <br />Division of Minerals and Geology <br />PERMITTEE NAME: ACA Products, Inc. <br />PERMIT NO.: M-1979-010 ~ <br />OPERATION NAME: Avery Construction Pit <br />_, _ANNIVERSARY~ATE:- ~_ _ -----January-15,.2006,.-_..-.._ . __ _ -_ ~ ~- ~ ~ ~-~~ __-. <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: <br />Chaffee <br />_ According to_C.R.S._34=32.5:1.16_oLC.R.S.39_32=L16,_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 for the year, if any. <br />Please attach ynnr revised written anneal report and anneal repot m ~n this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may su~ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jon Hollenbeck <br />Permittee Name: ACA Products, Inc. <br />Address: P.O. Box 1887 <br />Buena Vista, CO 81211 <br />Phone Number: (719) 395-3790 <br />Fax Number: (719) 395-3794 <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 />~_ c <br />Signature rporate Officer, Owner, or Designee <br />ll~yo6 <br />Date <br />