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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Red Canyon, LLC <br />M-1985-043 <br />Red Canyon Quarry <br />May 6, 2004 <br />R~CE94/E® <br />APR 3 0 2004 <br />Oivisioa of Minerals & Geology <br />$688.00 (Due on or before your anniversary date) <br />Fremont <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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 yeaz, reclamafion 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 annnal rennrt and anm~al rennrt m~ to this fnrm_ 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 perrnittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bob Stack <br />Permittee Name: Red Canyon, LLC <br />Address: 3131 Barrett Rd. <br />Colorado Springs, CO 80926 <br />Phone Number: (719) 576-0563 <br />Fax Number: (719) 576-0563 <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 />SET i`cd /~~® ~2NU os~~ <br />Signa re of Corporate Officer, weer, o esignee <br />~ 9 .~D/li G , O ~/ <br />Date <br />