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l~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Pioneer Sand Company, Inc. ~ECE~ VED <br />PERMIT NO.: M-1977-057 ~Cr ' s 200? <br />OPERATION NAME: Fedinec Pit <br />ANNNERSARY DATE: November 22, 2002 Olrlsion of Minerals and 6ealogy <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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--snbmif-the-snnual-f.°e-a-repcet- aml-reap-showing- the extent-of curreni disturbances to affected land, --_ <br />reclamation accomplished [o 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 [he beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual resort map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the Following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Photte Number: <br />Fax Number: <br />Colorado Springs, CO 80933 <br />(719) 599-8100 _ __ <br />(719)593-0167 <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 />!/D AcTi/iTy T REPp27- ~S /3~ST~E~41c' <br />/ ~ <br />~'R6.SiOr .tlJ- <br />Signaty e of tporate Offs e caner, or Designee <br />// /o-J-oZ <br />Date <br />n/BXT y6i9/Z`S pfr-vi-/G /S <br />M:tPERMITMASTERDOCUMENTSU~I-AF-O7 <br />