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G/ i <br />~1 <br />ANNUAL FEE a d PORT REQUEST <br />PERMITTEE NAME: Y Schuler Terracing ~~~~~ 1/Ep <br />PERMIT NO.; ~M-1995-095 `'JUN 112007 <br />OPERATION NAME: Simla Highway Pit Div ion ofi Reclamation, <br />Mining and Safety <br />ANNIVERSARY DATE: July 8, 2007 <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 I <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 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 vear and no new chanties 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 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: Henry A. Schuler <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Schuler Terracing <br />510 Caribou St. <br />P.O. Box 398 <br />Simla, CO 80835 <br />(719) 541-2396 <br />(719)764-2659 <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 />/~~ ~~ <br />Signature o orporate Officer, Owner, or Designee <br />~--~-a~ <br />Date <br />