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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Colorado Lien Company <br />M-1978-093 <br />Newett Quarry <br />September 28, 2003 <br />RECEIVE p <br />SEP 2 2 2003 <br />~I~IS10n ~l Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Chaffee <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1.1616^each year, on the anniversary date o_f 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 xpur revised written annual report and annual re~nrt main to this Tnrm. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Lecia Craft <br />Permittee Name: Colorado Lien Company <br />Address: P.O. Box 767 <br />Rapid City, SD 57709 <br />Phone Number: (605) 342-7224 <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 />Signature of Corporate fficer, Owner, or Designee <br />gl~~id3 <br />Date ~r <br />M:~PERMITU1ASTERD000MENTSVN-AF-01 <br />