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`~' <br />R~l~~~~f'~ -;, <br />PERMfITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Nielsons, Inc. <br />M-1976-027 <br />Craig Pit <br />June 17, 2005 <br />JUN 1 3 2005 <br />Division of Minerals and aaole8y <br />$688.00 (Due ou or before your auuiversary date) <br />La Plata <br />According to C.R-5.34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected 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 annnal report and annual rennrt m ~n in 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: Craig Wickstrom <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Nielsons, Inc. <br />22419 CR G <br />P.O. Box 1660 <br />Cortez, CO 81321 <br />(970) 565-8461 <br />(970j565-0188 <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 />z%~Zi /i ~ ~ <br />Signature o orporate Officer, Owner, or Designee <br />~~1~ ~ <br />Date <br />Nielsons <br />SKANSKA <br />June 9, 2005 <br />Nielsons Skanska, Inc. Annual Report for `Craig Pit' <br />Permit # M-1976-027 <br />La Plata County, Colorado <br />Deaz Sir or Madam: <br />Nielsons Skanska, Inc. <br />22J19 County Roatl G <br />RO. Box 1660 <br />Cortez, CO 01321 <br />Rnooe 970-565-8000 <br />rax 970-565-0188 <br />~~~~' V~® <br />JUN i 3 2005 <br />Division of Minerals and Geologg <br />