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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />AL FE add REPORT RE UEST <br />?alco Inc. <br />64-1977-572 <br />Lamar East Pit <br /> <br />March 22, 2011 <br />$$791.00 (Due on or before your anniversary date) <br />Prowers <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-per-formed during the coming-year, thg-dates-for?he 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 may 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: Tom Brubaker (? <br />?c <br />a tk ??i?? <br />Permittee Name: Valco Inc. <br />Address: 12753 S. Parker Rd. <br />Parker, CO 80134 <br />Phone Number: (303) 248-3590 <br />Fax Number: (800) 332-1652 <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 Corporate Officer, Owne , or Designee <br />L-( -L O(( <br />Date