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dd2 <br />~ ~ <br />i <br />ANNU F E and REPO T ~OUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />`Steel Rose I. Inc. <br />M-2006-031 <br />Steel Rose 1 <br />May 10, 2008 <br />~ ~~ ~~ <br />r.MAY ~ ~ 2008 <br />peon u. ~e~:iarnation, <br />v Mining and Safety <br />$$259.00 (Due on or before your anniversary date) <br />Park <br />According to C.R.S. 34-32.5-116 or C.R.-S-34 32=1-16, each year,-on the anniversary date of the permit,-arI <br />operator shall submit the annual fee, a report and map showing the extent of current dist%irliarices-to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual reuort map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Philip E. Brueggeman <br />-~ ~' ~ C. ~ <br />Permittee Name: Steel Rose I. Inc. <br />Address: 2507 W. Kiowa St. ~ ~ c~ ~ ~~~~,~_ <br />Colorado Springs, CO 80904 ~ i ~ C ~ ~C~ Cf ~ .~ <br />Phone Number: (719) 475-1597 ~ ~ / ~% "~ ~ ~S `f `~ ~ Q ~~ ~`~ <br />Fax Number: ~ '? 'j 'q,~ ~ ~ ,~-~ d ~ U~ <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 wi h your written report and map. Annual Report instructions are <br />enclosed. <br />ignature of Corporate Officer, O er, or Designee <br />Date <br />M:~PERMITVvIASTERDOCUMENTS/M-AF-02. DOC <br />