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PtECEIVED <br />EB 1 ? 2010 <br />Division of Reclam{{a??tion, <br />ER"MAR4E: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br /><,f?/) /?- <br />ANNU L FEE and REPORT REQUEST <br />Valco Canon City Concrete Div. <br />k/M-1977-559 <br />Canon City East Pit <br /> <br />February 22, 2010 <br />$$791.00 (Due on or before your anniversary date) <br />Fremont <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suff ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: L r <br />Permittee Contact: ns p ` <br />Permittee Name: Valco Canon City Concrete Div. <br />Address: P.O. Box469-- 050 <br />ete.r P-CV *06? <br />effneft-eitT' CO <br />Phone Number: (719) 2-75-4441 Z Oq` 706 7 <br />Fax Number: (719) ;5 ?-ZOq-?*" $' <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 <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />.- If <br />7-e-2- - ZDId <br />Date <br />M:IPERMIT %4ASTERDOCUMENTSW-AF-04