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^. _ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />1~FrR <br />Colorado Lien Company <br />j~I-1985-038 <br />Rifle Quarry <br />September 26, 2005 <br />C~ r ~ <br />~. <br />~~r 0 9 2~~5 <br />~jj 7ivisiaa u9 i'~r.a t_ _. __elc~y <br />$688.00 (Due on or before your anniversary date) <br />GarTield <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-submiYthe'annual-fee,-a report~ani3`map showing'tltie extent of current disturbances to affecte~lc -]and--- -- <br />reclamation accomplished to date and during [he 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 ynnr revised written anneal rennrt and anneal 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Lecia Craft <br />Permittee Name: Colorado Lien Company <br />Address: P.O. Box 767 <br />Rapid City, SD 57709 <br />~hel\y FftC/~Sov'1 <br />P-U- fox L1~-1® <br />Phone-Number: (605) 342-2224 <br />Fax Number: (605) 394-7246 <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.I (.~I.C~I~,d-~. <br />Signature of Co orate Officer, Owner, or Designee <br />Q-(~-D5 <br />Date <br />