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ido[ <br />RECEIVED <br />'' JAN 2 32006 <br />1/ AN1VIiAT, FF.F, and RF.PnRT RF.OT1F.fiT <br />PERMITTEE NAME: / Denver Water Department <br />PERMIT NO.: ~ M-1977-153 <br />OPERATION NAME: Reclamation Pit No 1 <br />ANNNERSARY DATE: February 7, 2006 <br />Division of Minerals and 6ealogy <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY; Adams <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach err revised written anneal rennrt and anneal rrpnrY man to this form- Pease note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael L. Walker <br />Permittee Name: Denver Water Department <br />Address: 1600 W. 12th Ave. <br />Denver, CO 80204 <br />Phone Number: <br />Fax Number: <br />(303)628-6474 <br />(303) 628-6478 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~` f)-k-hAr,~a.~ -fir t~n.r~ L~c.Qa~ <br />Signa re of Corporate Officer, Owner, or Designee <br />yr 1$ , Z.aOCo <br />0 <br />Date <br />