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Q <br />~.~ /~- ~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />+/haymond F. & Robert W. Dellacroce <br />/1VI-1993-050 <br />Dellacroce Pit <br />February 22, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: El Paso <br />~~I~ED <br />`~~B 15 2008 <br />isuean car ~eclamatiwlo <br />MInInO and Safety <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 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 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: Joe Kraig <br />Permittee Name: Raymond F. & Robert W. Dellacroce <br />Address: Pioneer Sand Co., Inc. <br />P.O. Box ?6S0 <br />Colorado Springs, CO 80903 <br />Phone Number: (? 19) 599-8100 <br />Fax Number: (? 19) 599-7509 <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 i form along with your written report and map. Annual Report instructions are .enclosed. <br />Signature of orporate Officer, Owner, or Designee <br />~iy~v <br />Date <br />