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FEB-24-2Q09 03:OOPM FROM-DIV RECLAMATION MINING & SAFETY +3036326106 <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />A AI. FEE and REP T RlF4UEST <br />ko Grande County <br />V1-1979-i$9 <br />T-139 P-002/002 F-062 <br />Rio Grande Sand Pit S-4 <br />January 13, 2009 <br />$$791.00 (Due on or before your anniversary date) <br />Arapahoe <br />? le <br />F:P,QA0 <br />,?KB 26 7009 <br />Division of Reclamation, <br />tV 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 />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 vour revised written annual report and annual report map to this farm. 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 vear's map are necessa 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 sake for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pern,ittee Contact: Dennis Sandusky <br />Permittee Name: Rio Grande County <br />Address: 201 Santa Fe Dr. <br />Denver, CO 80223 <br />Phone Number: (303) 825-2211 <br />Fax Number: (303) 575-0040 <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 />Signature of Officer, Owner, or Designee -Ld <br />C( <br />Date ?-