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Rpr ~Apr~16,~20086~9.00AM ~c TUCSON~SURGERY CENTER 7a5877z577
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<br />ANNLIAI.~ F`>~l+', and 1ZF;1'ORT Rh:O~t~S'1'
<br />1'1s1LM1'.l"1'~~ 1Y1~.Mk;;
<br />PE1ZM1'C NU.:
<br />Wilbur I+' Bcnhum
<br />M-19?l4"U39
<br />O1'1:12A'1'fON YAMH:,
<br />'rotcec lvo 2
<br />No, 3804 r.5
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<br />~pPR ~ ~ 2008
<br />~ris~c~r~ ~'r yie,~,~+r~ation•
<br />doping and Safety
<br />~ NNNERS/~12Y DI~TE^ _. „ , , 'April ?S, 2008. - ~
<br />MiNU~C, C3sE DUB; - $~Z59.00 (Dtao on or bol<'ore your anniversary date)
<br />C.O[7NTY: ~ Sun.fusn
<br />Accor~fin~; to C.R.S: 34-32,5-11G or C;.R.5.34-32.116, each year, on the anniversary date ofthc permit. an
<br />. ,. _ ot~aea~tor_shall bu3amis, tiie.,anr-uufl FeP ~ .P:,~,cr.~+~-~ap•rlww~r~~tlte°xt~t-af~~. .. .
<br />land,-reclamation acccimpliahcd-to dead and Burin}; the proccdinb yc::r, new Jislurbanccs that art; anticipated to
<br />oc:our during the upcoming year, reclamation that will be performed during the coming year, the dates for the '
<br />beginning of active operations, And the dote active operations eea:~ed.for the year, it'any_
<br />Plcasc :-ttach vonr ravl~t-d w_rltten_Anmtal_rcport_And annu:-1 report mop M ti~lc fnrxrt, Thp Annual
<br />Report & Fee requirement i, not met antll we have recclved the following components: fcc._rcnnrt, and
<br />a..ociatcd mstn. ' 1f nu now dlytusbnnccti or rccla~mation have occurrod ch~ring tho nrovloue yoar and tto
<br />now cLuni•c5 tv the previous ve:tr',~ map s~r_c ncccygrrv, then no new map is required, provided thAt the
<br />C1,perator hltall Nts~fc fhix in the Ann~uul Rcnort: Please n~re thy! ai, adeq:,a,(ely luhrJNr! neap tl:at c/c~arly
<br />do/incales a,td ii,cludec the r~bnv~ ~lr~uc~u[v i„ay .~~ufflcc fur u wri[Rcr, report,
<br />Division cecords indicate the following pertnittee eontzcr information. Plcasc vcril'y and m:tk~ :toy necessary
<br />changes:: ", . - rv`c. c': •~. i~~s~f ~ /' ~ ~i'~'=
<br />.:,
<br />Permittee Convect, ° W~lbtcr F. Benham
<br />x ! ,,, j a_~j ~ • c~
<br />Permittee Na1mC: : ;.Wilbur k' l3cnham
<br />Address: .:19~'9S'+,~rLStr'MarriZctSte^147-
<br />.3
<br />'CucsonrA1.=-it5747
<br />Phone Number: ~ (S`~f}~rT4~1~L6•
<br />[L'you hztvo additional comments and%or information that should Ue provided to tho Division, please provide it
<br />below or atL•sCh?il. lvnThis foctn ttlong,wiih your vvrittcn report nand map:. Annual Report instructions arc
<br />enclosed... - ,
<br />_•.G i ~-°
<br />Si~mattare of Corlxirate Officer, O er, or Ucaignee
<br />D~tc
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<br />M:lvr:R~,tmW n err•.R~(x'11~,1RNTt/M•n->•ul.uOC
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