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o ?- Or <br /> ANNUAL FEE and REPORT R&QUEST <br /> <br />PERMITTEE NAME: Ralph Porco, Rand Porco <br />PERMIT NO.: M-2004-042 ./ <br />OPERATION NAME: Porco Pit <br />ANNIVERSARY DATE: August 30, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Conejos <br />AUG 2 `L <br />Diaision of B,60amatian, <br />Kning and 5afet7 <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: Ralph Porco <br />Permittee Name: Ralph Porco, Randy Porco <br />Address: 111 50 FDR 255 <br />La Jara, CO 81140 <br />Phone Number: (719) 274-4078 <br />Fax Number: <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 />Uj'd? <br />Signa re of Corporate Officer, Owner, or Designee <br />a!,- Z9.- D <br />Date