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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />A AL FEE aftd PORT REQUEST <br />?qhe Regents of the University of Colorado <br />?M-1981-302 <br />Deepe Farm Pit <br />April 20, 2010 <br />$$791.00 (Due on or before your anniversary date) <br />Boulder <br /> <br />,/MAR 2 9 2M <br />n? <br />n? <br />Division 4? Mining dS ? <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 upcomimgg-year, reclamation that will -be-performed during the. coming-year, _the_ dates_ or_ t e_ egummg_._ <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 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: Jeffrey S. Lipton <br />Permittee Name: The Regents of the University of Colorado <br />Address: 444 UCB <br />University of Colorado <br />-- - - ?? -Boulder; CO 80309=0444 <br />Phone Number: (303) 492-2222 <br />Fax Number: (303) 492-6448 <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 C/ rporate Officer, Owner, or Designee <br />Date