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~~ <br />-G~ <br /> <br />PERMITTEE NAME: ANNiiAi, FRF, and RFPnRT RF,nii <br />Alamosa County F.ST <br />RECEIVED <br />PERMIT NO.: M-2001-108 FEB 18.2003 <br />OPERATION NAME: Alamosa County Pit No. 1 Division of Minerals and Geology <br />ANNIVERSARY DATE: February 22, 2003 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Conejos <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the pemrit, an <br />operator shaiI-su mrt t e annual-fee, a reportand map'shawing~the-extent-of•currcm-disturbanees-to-affected - - <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual report and annual re~nrt main to this form- Please note that an <br />adequately labeled map That clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Phil West <br />Permittee Name: Alamosa County <br />Address: ^~Uk,.+=s-'-g <br />Alamosa, CO 81101 <br />Phone Number: (719) 589-~^ ~l q' s-$q- ~2 d to.~- <br />Fax Number: ~l q~~~~" 10~~3 <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 <br />enclosed. <br />Si lure of Corporate Officer, Owner, or Designee <br />Date <br />M:IPERMITMASTERDOCUMENTSUI.AF-04 <br />