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k~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/ A]y]ylipT, FF.F, and RF.PnRT RF.OTTFST <br />Vista Verde Village, LLC. <br />~/M-1992-049 <br />Peck Pit <br />July 13, 2006 <br />RECEt~~Et~ <br />'SUN 0 92006 <br />OivisivnofMineralsam _~,~~,_, <br />$281.00 (Due on or before your anniversary date) <br />Ouray <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 yeaz, 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 ynnr revised written anneal report and anneal rF,nnrt m~ to this form. The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: fe_p„ r~nnrt, and acsnciated <br />malt (A113 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Keith Zimmerman <br />Permittee Name: Vista Verde Village, LLC. <br />Address: 17449 Hwy 550 <br />__ Ridgway,.CO 81432 _ <br />Phone Number: (970) 325-0068 <br />Fax Number: <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 />Officer, Owner, or <br /> <br />Date <br />~tJ <br />