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<br /> <br /> ANNUAL FEE and REPORT RE VEST <br /> '~~~'~e <br />PERMITTEE NAME: Pioneer Sand Co any Inc <br />PERMIT NO.: M-1985-082 ~ DEC 0 6 ~ppl <br /> <br />OPERATION NAME: <br />Rock Pit Mine Division oi~ ~eclan-ation, <br />Mining and Saf <br />/// <br /> ety <br />ANNIVERSARY DATE: December 30,2007 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />__ reclamation. accomplish~d_t4 date_and_during_the preceding year~new disturbances_that ar_e_anticipated_to___o.~c_ur_. _ .__ <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 annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee. report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary. then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Joe Kraig <br />Permittee Name: Pioneer Sand Company Inc <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933 <br />Phone Number: (719) 599-8100 <br />Fax Number: (719) 598-7605 <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. A nual Report instructions are enclosed. <br />./o ,ti~.~r,~/~ r~- Tv.?- i~s ar~.si ~~,~rP <br />s ,~ <br />Signat of C rate Offi Owner, or Designee <br />~L,~s/ ~ <br />Date <br />