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04-JAN-2006 09:06 FROM-Colorado Division of •linarals 8 GsolosY +13036326106 T-426 <br />. O ~ L2~ <br />ANNTJTAi. FF,j': and REPORT RFf/i1FST <br />PERMTI'TEE NAME: Otero County (Engineering) <br />PERMIT NO.. M-1981-279 <br />OPERATION NAME: Hancock Gravel Pit <br />.ANNIVERSARY DATE: Febraary 1, 2006 <br />ANNUAL FEE DUE; $688.00 (Due on or before yoar anniversarq date) <br />COUNTY; Otero <br />_Accatding w C.R.S. 34-32.5-1 i6 or G:R:S. 3432-116, each year, on'the atmivecsary date of the permit, an <br />operator shall submit the amtual fee, a report and map Showing the extent of current disturbances to affected <br />land, teClarnation accomplished to date and doting the preceding year, new disturbances that are atrticipated to <br />occur during the upcoming year, reclamation that an7I be performed during the coming year, the dates for the <br />beginning of active operations, and itte date active operations ceased for the year, if arty. <br />PlpnsP fltrach vnnr reViw~A wri nn gnnnal ra~nrh vn,i gnnual r,.Pnrt maw ro this fnrm_ Pjea~-g note [hat an <br />adeguately labeled map that clearly d¢linentes and includes the above elements may sujj"ice jor a xerttten <br />report, <br />Division records indicate the following permi[tee contact information. Please verify and malee any necessary <br />changes: <br />Permittee Contact: Kenneth S. Pazker <br />Permittee Name: Otero County (Engineering) <br />Address: P.O. Box 511 <br />La Junta, CO 8t050 <br />Phone Number: (719) 383-3035 <br />Fax Nutnbcr: (719) 383-3935 <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 yow written report and neap. Annual Report instructions are <br />rnclosed. <br />M:wt;ammntasreaaoct,nt~rrsyxnrac <br />