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~~ <br />~EL~~U~® <br />FfB 1 ~ 20D6 <br />PERMITTEE NAME: Nikolaus Arnusch <br />a'^81o^ of Minerals and Geology <br />PERMIT NO.: M-1981-287 <br />OPERATION NAME: Arnusch Grav Pit 3 <br />ANNIVERSARY DATE: February 25, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Weld <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 />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 r~rt and anm.al re~nrt m~tn 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: Nik Arnusch <br />Permittee Name: Nikolaus Arnusch <br />Address: 34527 WCR 6 <br />Keenesburg, CO 80643 <br />Phone Number: (303) 732-4427 <br />-`Fax u-lam eb r: -._ __ _._ _ ____ _ <br />Oc~ e 1'~- ~ ~~i~N~~o <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 />~gnature of Corporate Officer, Owner, or Designee <br /> <br />Date <br />