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ANNUL FEE and REPORT REOUEST <br />PERMITTEE NAME: 'Pioneer Sand Company Inc <br />PERMIT NO.: ?M-1980-037-HR <br />OPERATION NAME: Ingleside Quarry <br />ANNIVERSARY DATE: October 1, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />oAL <br />W <br />Mf G ED) <br />SEP 18 2008 <br />"h,y Division of Kedamation, <br />Mining and Safety <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 />-? lamation acc-omplished-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 may 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: Joe Kraig <br />Permittee Name: Pioneer Sand Company Inc <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933-7650 <br />Phone Number: (719) 599-8100 <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 />Tf?? ,?/s ,e,c`??.0 h'R?R !J//> s?d'7-- Ch?.?GF <br />Si of C orate Offi er, or Designee <br />R R E,9 -5*11z:V-&W o n/ TAE /A69,- <br />/,-/ ?E. <br />/„/ ?5'11,F 77115- <br />Date PAST yF .P. <br />Date