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o 1-'- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />?F I-' ko A 7 <br />AANIWAL FILE and PORT REOUEST <br />U EE/astern Colorado Aggregates, LLLP <br />/M-2006-013 <br />Potts Pit #2 <br />June 21, 2011 <br /> <br />RECEIVED <br />JUN 15 2011 <br />11:!?RDiv4sion o? Reclamation, <br />ARln!ng a. ,:d Safety <br />$791.00 (Due on or before your anniversary date) <br />Huerfano <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 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 vear's map are necessarv. 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Ronda Neumeis_t1e? <br />Gnu W C2 Uvr, ?, 5 <br />Permittee Name: astern Colorado Aggregates, LLLP <br />Address: P.O. Box 307 <br />Holly, CO 81047 <br />Phone Number: <br />Fax Number: <br />(719) 537-0117 <br />(719) 537-0115 <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 />Date