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.~~ <br />ANNUAL FEE an REPOR REQUEST ~ - `~rrj~y~ <br />~~~, -~ <br />O~~„ Q2Q <br />PERMITTEE NAME: ''The Regents of the University of Colorado l~n~,. ~ . , OJ <br />PERMTI' NO.: 'M-1981-302 Jy`~B~SaaPO~ o>a <br />OPERATION NAME: Deepe Farm Pit <br />ANNIVERSARY DATE: Apri120, 2007 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <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 pemut, an operator <br />shall submit the annual fee, a report and map showing the extent of_current disturbances to affected land, reclamation <br />accomplished to date and during the preceding yeaz, new disturbances that aze anticipated to occur during the <br />upcoming yeaz, reclamation that will be performed during the coming yeaz, the dates for the beginning of active <br />operations, and the date active operations ceased for the yeaz, if any. <br />Please attach vour revised written annual report and annual report map 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 pemrittce contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jeffrey S. Lipton <br />Permittee Name: The Regents of the University of Colorado <br />Address: 453 UCB <br />University of Colorado <br />Boulder, CO 80309-0453 <br />Phone Number: (303) 492-2222 <br />Fax Number: (303) 492-7186 <br />444 UCB <br />Boulder. CO 80309-0444 <br />303-492-6448 <br />If you have additional comments andlor information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instrctions aze enclosed. <br />(SEE ATTACHED ANNUAL REPORT.) <br />Officer or Owner <br />r Apri117.2007 <br />Date <br />