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a6 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />y 'l <br />A FE and REPORT REQUEST <br />ioneer Sand Company Inc <br />M-1983-139 <br />Leyden Pit <br />Apri123, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <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 />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 j <br />I <br />Permittee Name: Pioneer Sand Company Inc <br />Address: P.O. Box 7650 <br />~I <br />Colorado Springs, ',CO 80933 <br />Phone Number: (719) 599-8100 <br />Fax Number: (719) 599-5317 <br />If you have additional comments <br />below or attach it to this form along <br />of <br />• information that should be provided to the Division, please provide it <br />your written report and map. Annual Report instructions are enclosed. <br />~,or Designee <br /> <br />gy~ ~~~~ ~ ~y~© <br />~~ PR ~ ~ 2008 <br />'°'~v~sion of Roci~ <br />~inin oration, <br />9 and Safety <br />Date <br />