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<br />;RMITTEE NAME: <br />~'ERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />DFC Ceramics, Inc. <br />M-1990-143 <br />Stone City Mine <br />March 14, 2004 <br />~~~~~ ~F,r ~~~ <br />MAR1~l~ <br />Dibision al Minerals and Gaologp <br />$281.00 (Due on or before your anniversary date) <br />Pueblo <br />,,According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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 />bf active operations, and the date active operations ceased for the year, if any. <br />Please attach ym.r revised writt n ann gal re~nrf and anmial re nrt man to thic Snrm. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report, <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: -33rued~-Flitf <br />Permittee Name: DFC Ceramics, Inc. <br />Address: 515 S. 9th St. <br />C -fi~£S'~.2 0~~5 <br />Canon City, CO 81212 r 1 <br />Phone Number: -F~}!~3' 1.~~ 2l 6~ 7- 02-/~ / £X`f /7 <br />Fax Number. r~ ~ o~. '~- '~? ~- ~~ ~ 7~ ~ri~- 7 - o~~S <br />If you have additional comments andlor information that should be <br />below or attach it to this form along with your written report and map. <br />Signatu /f7C f cer, Owne/r, or Designee <br />~F4. ~-~ pZa o ~`' <br />Date <br />provided to the Division, please provide it <br />Annual Repor[ instructions aze enclosed. <br />