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"~° ~~~ ~ y <br />~;~ ~ /- <br />PERMITTEE NAME: R E Monks Construction Co. ~"/~"'1 <br />PERMIT NO.: '~M-1986-025 <br />OPERATION NAME: Mitchell Mine No 1 <br />ANNPJERSARY DATE: July 29, 2004 <br />~- z 3 -a~ <br /> <br />R~ <br />~ ~ 3 2005 <br />f . _u E GeoloAY <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: EI 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 the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anneal report and anneal report mar}n this form. Please note that an <br />-adequately labeledinap that clearly delineates ai¢d includes the above elements may since for a writteta report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dennis Good <br />Permittee Name: R E Monks Construction Co. <br />Address: P.O. Box 25579 <br />Colorado Springs, CO 80936 <br />Phone Number: (719) 495-3621 <br />Fax Number: (719) 495-1281 <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 Corp r to Officer, Owner, or Designee <br />8• ~fo•~ <br />Date <br />