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PERMI1 TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE; <br />COUNTY: <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 data 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 />glease stta0 your revisedwritteo annual report and annual r+enort DUD to thin fem. The Maul Report <br />& Fee requirement is net met midi we have received the following components: fee. report. and associated <br />maa. 18 n, new distnrbanoes_or reclamation ban occurred daring the vrevieee gear and no new ehaaaes to <br />the previous rear'; ■ttp are necessary, then no new an iii renadre& ambled that the Overater shall state <br />ajakikeasmatand, Please Rote that an adequately labeled trap that clearly delineates and vtc1ndes the <br />above elements may suffice for a written report. <br />Division records indicate the following permilttee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: <br />Address: <br />Weston, CO 81091 <br />Phone Number (719) 868 -3307 <br />Fax Number: (719) 868-3004 <br />AjdNUAL FEE and REPORT REQUEST <br />S & S Services <br />M-2007 -034 <br />Lopez Quarry No. 2 <br />September 7, 2011 <br />$$323.00 Mae en or before your anniversary date) <br />Las Animas <br />0 0 <br />W o =„ <br />N <br />W <br />N <br />