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J/" ~ ~-- <br />~-~ ANNTiAT. FF.F. and REPORT R~TIF.ST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ Schuler Terracing <br />t/M-1995-095 <br />Simla Highway Pit <br />July 8, 2006 <br />$281.00 (Due on or before your anniversary date) <br />El Paso <br />1'1~~~P P/ CD <br />~~ JUN Z 7 2006 <br />~Dlrision of tAinerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year~on the anniversary d_ a _te of the vermit,_an operator_ _ _ _ <br />shall submit the annual--fee, areport-and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to data and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming yeaz, 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 annual report and annnal re~,pnrt m ~n to this form. The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: fgg~r~ nom, and associated <br />map (A113 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map [hat clearly delineates and includes the above elements may <br />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: Henry A. Schuler <br />Permittee Name: Schuler Terracing <br />Address: 510 Caribou St. <br />P.O. Box 398 <br />Simla, CO 80835 " - - <br />Phone Number: (719) 541-2396 r~ <br />Fax Number: (~9~34i+4`!48 ~ ~ g -[ L ~~ a. L 5~ ~ <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 />Signature of porate Officer,0~, or Designee <br />-~ to-o ~o <br />Date <br />