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�II �IIII�II��I�� III <br /> ANNUAL FEE ___ ___ 999_ __ _SST <br /> RECEIVED <br /> PERMITTEE NAME: Lucio Vasquez APR 10 2001 <br /> PERMIT NO.: M-1994-121 <br /> OPERATION NAME: Vasquez Quarry No 2 Division of Minerals and Geology <br /> ANNIVERSARY DATE: April 13,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Boulder <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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active`operations,aand the date active opevatwns ceased for Ihe year, ifAny. <br /> Please attach your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Lucio Vasquez <br /> Permittee Name: Lucio Vasquez <br /> Address: P.O. Box 938 <br /> Lyons, CO 80540 <br /> Phone Number: --{383jt?�2 ��� ' zl,-S- 25 7 <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 <br /> enclosed. <br /> T <br /> Sig re of Corp Off-e#Owner <br /> Date <br /> ht:WERMTIUTASTERD000MENTSW-AF-DI <br />