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~~/ <br />PERMTfTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />'ANNUAL FEE and REPORT REQUEST <br />t~ Raymond F. & Robert W. Dellacroce <br />~M-1993-050 <br />Dellacroce Pit <br />February 22,2007 <br />~21~~'`( <br />~~^C~°~"~.~ <br />~FEB 2 0 2001 <br />Division u. ~ :-~!zmation, <br />~fiining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />El Paso <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 t_he beginning <br />of active operations, and the date active operatons ceased fo'r the year, if any. '- <br />Please attach vour 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 chances 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 since for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe Kraig <br />Permittee Name: Raymond F. & Robert W. Dellacroce <br />Address: Pioneer Sand Co., Inc. <br />P.O. Box 7650 <br />Colorado Springs, CO 80903 <br />Phone Number: (719) 599-8100 <br />Fax Number: (719) 599-7509 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to form along with your written report and map. Annual Report instructions are enclosed. <br />Signature o orporate Officer, Owner, or Designee <br />~~y~°2 <br />Date <br />