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;~!- <br />r, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Pioneer Sand Company, Inc. <br />M-1983-239 <br />Leyden Pit <br />April 23, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Jefferson <br />RECEIVED <br />APR 2 4 2003 <br />Division at Minerals and (ieofogy <br />According to C.R.S. 34-32.5-116 or C.R.-S'S4'3~t? 5. each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the ex[efi~v.~vare,:,: disturbances to affected land, <br />reclamation accomplished to date and during the.x~te~e/i[g year, new disturbances that are anticipated to occur <br />during the upcomine,v_ear,te;a;,;aiion 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 ys~r reviced written annnal rennrt and annual rennrt man to thic form- 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: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933 <br />Phone Number: (719) 599-8100 <br />Fax Number: (719) 599-5317 <br />If you have additional comments and/or inl`orma[ion 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 />M:`PERM ITM ASTERDOCU M ENTS`M-Ar.O i <br />