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~~I ~~ <br />PERI•IITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Valco, Inc. <br />M-1977-572 <br />Lamar East Pit <br />MAR 2 2100y <br />March 22, 2004 Division of Minerals and gen~u9- <br />$688.00 (Due on or before your anniversary date) <br />Prowers <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 an-tual fee, a. report and map showing the extent of current disturbances to aff cted land, <br />reclamation accomplished to.date and during the preceding yeaz, 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 anmial report and annual re~nrt main 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: Wayne Adams <br />Petmittee Name: Valco, Inc. <br />Address: P.O. Box S91 <br />Phone Number: <br />Fax Number: <br />Lamar, CO 81052 <br />{719)336-2223 <br />(719)336-2224 <br />If you have additional comments andlor 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 />Signature of Corporate Officer, Owner, or Designee <br />o~ -~/- A~ <br />Date <br />