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FEB-12-04 13:35 FRORFColorado Division of Ilinarals i Geology +13036663567 <br />ANNiJAT~,FEE and RF.P(1RT RFOTTF,CT <br />PERMITTEE NAME: Superior S&G c/a Rio Grande Co <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />M-1979-189 <br />Superior S & G Pit <br />January 13, 2004 <br />T-951 P.003/003 F-059 <br /> <br />RECEIVED <br />FEB 17 2004 <br />Division of Minerals & Geoto9Y <br />$688.00 (Due on or before your anniversary date) <br />Arapahoe <br />According to C.R.S_ 34-32.5-116 or C.R.S. 3432-116, tech year, on the anniversary date of the permit, an operator <br />shall submit the affiual 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 TA occur <br />during the ttpcotning 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 atFnch ynnr revtRrrt written annual rernrt and annnnl rrpnrt prep to thie fnrm_ Please note that an <br />adequately labeled map that clearly delineates and includes the above eletnetets may su„>~ce far a written report. <br />Division records indicate the following permirtee conWet information. Please verify and make any necessary <br />changes: <br />Petmittee Contact: Ed Connor <br />Pernvnee Name: Superior S&G c/o Rio Grande Co <br />Address: 201 Santa Fe Dr. <br />Phone Number: <br />Fax Number: <br />Denver, CO 80223 <br />(303)825-2211 <br />(303)629-0417 <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. Atmual Report instructioms are enclosed. <br />~gnature of Corporate Of;:wcer, Own or Designee <br />Date <br />aa.~treanozv~easr~ocurmr:rsa~-nF-or <br />