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~M <br />PERMfITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL. FEE DUE: <br />COUNTY: <br />~~ ~~I~l <br />ANNilAt. FEF, and RF.PnRT RF.OiTF.RT <br />vP' neo Feedlot, LLC <br />!~ M-1980-135 <br />Headley <br />October 7, 2005 <br />RECEIVED <br />~~`~OCT " 7 ?005 <br />1/llivision ~t Minerals and GeoloBY <br />$688.00 (Due on or before your anniversary date) <br />Morgan <br />According to C.R.5. 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 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 />Pf_gace, aittach ynnr revised written anneal report and anm~al report manrtn this form. 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: Joel Chisum <br />Permittee Name: Pinneo Feedlot, LLC <br />Address: 32295 Hwy 34 <br />Phone Number: <br />Fax Number: <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 />~X ~ . <br />Signature of Corporate Officer, Owner, or esignee <br />~~~~t~S- RECEIVED <br />Date OCT 0 7 2005 <br />P.O. Box 384 <br />Brush, CO 80723 <br />(970) 842-0701 <br /> <br />Division of Minerals and Geology <br />