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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNdAL FEE and REPORT REQUEST <br />E Monks Construction Co. <br />dM-1983-193 <br />Monks Plant No I <br />July 29, 2009 <br />?m <br />RECEIVED <br />?UG 12 2009 <br />Division of Redamatjon, <br />Mining and <br />$$791.00 (Due on or before your anniversary date) <br />El Paso <br />a lZ-- <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_annnual 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 hart 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: Dennis Good <br />Permittee Name: R E Monks Construction Co. <br />Address: P.O. Box 25579 <br />Colorado Springs, CO 80936 <br />Phone Number: (719) 495-0467 "t kq-4F?s -3loa 1 <br />Fax Number: (719) 495-0467 <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 Corp a Officer, Owner, or Designee <br />t•^o <br />Date