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<br />Af:RPT <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />F//ront Range Aggregates, LLC <br />/M-1997-054 <br />Parkdale Project <br />January 11, 2008 <br />I'~ . ~~:-~ ~ _-' !; q /fir"' I <br />` ~, . <br />J~~~9 1 1 F <br />-®ivtsion o~ ;~~oi;~a.tion, <br />Mining ano ~afcty <br />$$791.00 (Due on or before your anniversary date) <br />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 />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-distur-bances 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 annual report 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 durinE the previous year and no new changes to <br />the previous year's man 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 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: Tom Maul <br />Permittee Name: Front Range Aggregates, LLC <br />Address: 3655 Outwest Dr. <br />Colorado Springs, CO 80910 <br />Phone Number: (719) - 000 ~ ~~ ~3g`~• - g g b~ ,/ G` " <br />Fax Number: ~-~ ~ ~ ~~ ~- a.~j3 ~ ~ <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 />Signature of Corporate Officer, Owner, or Designee <br />(~1-i(5•o~- <br />Date <br />