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-~ <br />,- .... <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />`~/ Pueblo County <br />t/ M-1997-081 <br />Everhart Pit <br />March 3, 2007 <br />~ ~, -, <br />"9n <br />v ~ivisloo <br />atk~ , <br />Mipl~ Ana ~A~a~ ®q~ <br />$5688.00 (Due on or before your anniversary date) <br />Pueblo <br /> <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 />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report mau to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous vear and no <br />new chances to the urevious year's man are necessarv,then no new map is required, provided that the <br />Operator shall state this in the Annual Resort. Please note that an adequately labeled map that clearly <br />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: Patricia K. Coffee <br />Permittee Name: Pueblo County <br />Address: 33601 United Ave. <br />rr';''~' <br />Pueblo, CO 81001 <br />Phone Number: (719) 583-4723 <br />Fax Number: (719) 583-4944 <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 <br />enclosed. <br />\ J/1t.~in~lJ . 'sue ~i~,-~~io <br />Signature of Corporate Officer, Owner~e <br />2~ /D7 <br />Date <br />~~ <br />M:~PERMI'I~MASTERDOCUMEMCS~h(-AF-04 <br />