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<br />PERMITTER NA:4E: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />Ranch Land LLC <br />M-2002-0% 1/ <br />Ranch Land Rock Pit 01 <br />RECE ED <br />October 15, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Fremont <br />OCT 0 2 2008 C/ <br />Division g tntion, it ' <br />Mining and d Safety (/J? <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; rind the date active operations ceased for the year, if any. <br />Please attach our revised written annual report an annual report ma 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 />Permittce Contact: William Peeta <br />Permittee Name: Ranch Land LLC <br />Address: 3925 Hill Circle <br />Colorado Springs, CO 80904 <br />Phonc Number: - (719)-492-0266-- <br />Fax Number: (719) 473-5494 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or ch it to this fo , long with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Of icer, Owner, or Designee <br />A)? <br />Date