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_ A ccording C t. S___34.32_5-116 or- _C.R.S.- 34- 32 -_Ll6 —each year, ,on-- the- anniversary - date— of-the- pe- rmit, —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 />d elineates and includes the 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: ( )) W � <br />Permittee Contact: Oarry�eitttlz u1 t_r+ h l t e <br />Permittee Name: Otero County (Engineering) <br />Address: P.O. Box 511 <br />PERMITTEE NAME: tero County (Engineering) ✓tuc 01 2011 <br />PERMIT NO.: " M- 1978 -267 <br />.#IVISIOh ul 5 �t �eat71iJdi�T1, <br />OPERATION NAME: Argo Gravel Pit <br />Mininrl t SIP* <br />ANNIVERSARY DATE: August 26, 2011 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Otero <br />Phone Number: <br />Fax Number: <br />La Junta, CO 81050 <br />(719) 383 -3035 <br />(719) 383 -3935 <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 . irm along with your written report and map. Annual Report instructions are <br />enclosed. <br />ti <br />'ture of Corporate Officer, Owner, or Designee <br />/il <br />Date <br />M: I PERMIT IMAS TERDOC UMENT S 1 M -AF -04 <br />/gy <br />A FEE and REPORT REQUEST <br />