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~'" <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COIJN'PY: <br />Dave Direzza <br />M-1984-028 <br />Direzza Pit <br />May 1, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Bent <br />/"",r <br />!FI'~`f`'~ii/~rl <br />JUPJ 0 ~; 2C05 <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 annual report and anneal re~prt maw to 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: Dolores DiRezza <br />Permittee Name: Dave Direzza <br />Address: 4815 Hwy 194 <br />La Animas, CO 81054-9411 <br />Phone Number: (719) 456-2266 <br />Fax Number: (719) 456-2266 <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 />~ G^~i(M/1~~ <br />ignature of Cor~~por/ate O fiefeJr, O , er, signee J <br />C~T2 V~ <br />r19fP `~ ~ <br />