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F~~-RP. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Pi eer Sand Company, Inc.}" <br />i/ M-1980-037-IiR <br />Ingleside Quarry <br />October I, 2005 <br />cbm <br />;., I, <br />~ ~ ~-, f./ <br />EP 2 ' 2005 <br />. ~-xDv <br />$688.00 (Due on or before your anniversary date) <br />Lorimer <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 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 anmral re~nrt and annual rennrt myLp to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following pelmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933-7650 <br />Phone Number: (719) 599-8100 <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 />.IEL il/~i3ch5?p, <br />~~S//.~~,/T <br />Sign ` re ~rporat~~r, Owner, or Designee <br />~/o /o~- <br />Date <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 1303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br />September 1, 2005 <br />Pioneer Sand Company, Inc. <br />P.O. Box 7650 <br />Colorado Springs, CO 80933-7650 <br />SEP 2 1 20Q5 <br />pivisiortai Miarxais e~w oaaiagy <br /> <br />COLORADO <br />DIVISION O F <br />MINESRALS <br />GEOLOGY <br />0.ECLA MATION•MINING <br />SAFETY•SCIENCE <br />Bill Owens <br />Governor <br />Russell George <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />