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t~~ <br />~t <br />A AL FltiE and REPORT REQUEST r,~. . <br />_,_y `~.~v . 3, <br />s H~~ <br />PERMITTEE NAME: /Roblaa Construetloa Co. L4LP , <br />~j~~ ~ ~ <br />PERMIT NO.: M-2002-014 Q 20~ <br />~ tii~~sion ~,,. <br />OPERATION NAME: Rohlns Plt No. 1 n"nin9 and S~f~tyon, <br />ANNIVERSARY DATE: May 16, 2007 <br />ANNUAL FEE DUE: 55281.00 (Due oa or before yoar aaulvenary date) <br />COUNTY: ConeJoe <br />According to C.R.S. 34-32.5-116 ar C.R.S. 3432-1 lb, each year, on the anniversary date of the permit, an operator <br />chall submit the ertnual fee, .e..report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to dace and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that wilt 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 arty. <br />P1=ae gttach yoar revised written raannd report and anneal resort man to fLia form. The Annuat Report <br />& Fee regolrement Is not met notll we have t•ecelved the following compoaents•. fee, retart. and aerated <br />to . If ao sew d`~rbancea or redamatloa have o awed daripr the arevMas veer and no sew ehanaee to <br />this In t Aaawl $grmrt. Please cote that an adequately labeled map that clearly delineates and Includes the <br />above elements may since jot a written report. <br />Division records indicate the following petmittee contact information. Please verily and melee any necessary <br />changes: <br />Pertnittee Confect: Randy Robins <br />Permittee Name: Robins Construction Co. LLLP <br />Address: P.O. Hox 212 <br />Anwnito, CO 81120 <br />Phone Number: (719) 376-2351 <br />Fax Number: (719) 376-2651 <br />if you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Co Drat fficer, Owner, or Designee <br />~/a71a7 <br />Date <br />