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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />zff <br />ffREP A EE anr <br />ORT REP QUEST <br />1 ' ZCO Construction, Inc. <br />( IM-2004-029 <br />AZCO Pit <br />gmk <br />RECEIVED <br />I/AUG 3 U 2010 <br />Division of Reclamation, <br />Mining & Safety <br />September 24, 2010 <br />$$323.00 (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 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 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: Ronald E. Walker <br />Permittee Name: AZCO Construction, Inc. <br />Address: 2055 US Highway 50 <br />Penrose, CO 81240 <br />Phone Number: (719) 372-6872 <br />Fax Number: (719) 372-0418 <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 />IL ? A ? ? - ": _ i <br />Signature of Corporate Officer, Owner, or Designee <br />OA 6/l0 <br />Date