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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANN[JAL FEE DUE: <br />COUNTY: <br />A-~ l~ P ~ <br />ANNUAL F E and REPORT REQUEST <br />~'~iunning Creek Ranch <br />i/1`I-1985-003 <br />Freund Pit <br />Apri122, 2008 <br />~ zoos <br />APR 1 ;,~a4~on, <br />~c~u fe,Y <br />~-~ti~ran ~~ " d Sa <br />~~nin9 an <br />$$791.00 (Due on or before your anniversary date) <br />Elbert <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: Joseph D. Freund <br />Permittee Name: Running Creek Ranch <br />Address: 15460 E Batavia Dr <br />Aurora, CO 80011 - _ <br />Phone Number: (303) 341-9310 <br />Fax Number: (303) 360-8332 <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 />afore Corporate Officer, Owner, or Designee <br />x~ <br />Date <br />