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iv+~K <br />I cfo <br />RECEIVED <br />DEC 12 2005 <br />i+iosion of Minerafs:.rJ ucsiu~y <br />PERMITTEE NAME: Y Colorado Quarries, Inc. <br />PERMIT NO.: +/ M-1977-144 <br />OPERATION NAME: Mica Lode <br />ANNNERSARY DATE: November 30, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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 />shah submit The annua ee, a reporE and map showing foe e`xten"i of Curren"t disturhances~o affecfea land, <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 your revised written annual report and anmral report m ~n 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 pertnittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bill Tezak <br />Permittee Name: Colorado Quarries, Inc. <br />Address: 270 S. 15th St. <br />Canon City, CO 81212 <br />Phone Number: (719) 275-6894 <br />Fax Number: (714) 275-2131 <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 />~~.l.~P <br />Signature o orporate Officer, Owner, or Designee <br />~~6~ <br />Date <br />