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1~2- <br />~ h~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY; <br />1/ ANNiiAi. FF.F and RF.PnRT RF.nilF.ST <br />/ Valco, Inc. <br />~M-1977-572 <br />Lamar East Pit <br />March 22, 2006 <br />RECErVED <br />t~ MAR1y~ <br />~DIYIS10n ~I Minerals and Ceolo~y <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 I <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected ]and, <br />rec ama ion accomp is e o a e an unng a prece mg year, new d~`stur ances hat are an ctti 'p Td-to occur I <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 y~nnr reviced written anmial report and annual report map to this form. Please note that an <br />adequately lobeled map that clearly delineates and includes the above elements may Buff ce 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 />Permittee Name: Valco, Inc. <br />Address: P.O. Box 591 <br />Phone Number: <br />Fax Number: <br />Lamar, CO 81052 <br />(719)336-2223 <br />(719)336-2224 <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 />-c.e. <br />Signature o orporate Officer, Owner, or Designee <br />~-9-0l,~ <br />Date <br />