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~- <br />~~ ~- R~ <br />ANNUAL FEE and REPORT REQUEST <br />r~ <br />PERMITTEE NAME: Ronald L Barrier ~ ~ ~' ~`~ Q ~,` <br />PERMIT NO.: M-1994-081 ~/ `~`~~ d ~~7®®~ / <br />~IPJirj~;,, r_ <br />OPERATION NAME: Peat Mine Mllnis~ ~ ~~ar~..~G,t~9~ <br />ANNIVERSARY DATE: December 21, 2007 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Alamosa <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 accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />--- during the up~~ming year, reclamation tt-a w~ e pe~oi~3unng 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 resort and annual resort man 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 man are necessary. then no new man 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 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: Ronald L. l~r~ier <br />j~ycr,cLjG~ ~. ~ ~~r 1'l a r'' <br />Permittee Name: Ronald L Barrier <br />Address: P.O. Box 3 <br />Alamosa, CO 81101 <br />Phone Number: (~k9j-5~99-6994 r( ~. ~ " ~ 8 °~(' 0 ~ tSt~ <br />Fax Number: (~-°,-~-~~~5 ~ ~ ~~5~~'~~"'t'~c <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 />S~gnatur orporate Officer, Owner, or Designee <br />Date <br />f v C~ G,t 5~(A.r ~c~2c~5- ~ ~ <br /> <br />' ` hcLv-~..~~~ ~~-~-s~~~ In ~l-~D <br />-r ~~..Ic~.~~~-l ~ ~~ <br />