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r <br />/~ ~ - / l <br />ANN AL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~ Dave Direzza <br />PERMIT NO.: ~ -1984-028 / ~~~1Y Q ~ L, ; .' <br />OPERATION NAME: Direzza Pit Division of Reclamation, <br />~ Mining and Safety <br />ANNIVERSARY DATE: May 1, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Bent <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 reauired, 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: Dolores DiRezza <br />Permittee Name: Dave Direzza <br />Address: 4815 Hwy 194 <br />Phone Number: <br />Fax Number: <br />Las Animas, CO 81054-9411 <br />(719) 456-2266 <br />(719) 456-2266 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below/o~att~ it to this form/~o~ag w~your written report and map. Annual Report instructions are enclosed. <br />Signature of Corpo ate Plf~"icer, 0~,~~N~r~br Designee <br />D <br />Date <br />