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' V <br />RECEIVED <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-2000-080 <br />Pioneer Farm <br />January 23, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Arapahoe <br />JAN 2 1 2003 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the perrnit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attag~ynnr revised written annnal renTort and annnal report m;~ to this form. Please note that an <br />adequately labeled map that clearly delineates mtd includes the above elements may st ffce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: 5000 Northpark Dr. <br />Colorado Springs, CO 80933 <br />Phone Number: (303) 340-1440 <br />Fax Number: (719) 599-8882 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed. <br />..$~'F fJ/f9~/fi1J /!tA~- /3.s.5' fJcReS G,le,e~ D~~,~~p FoR N/i„i/.~G, <br />T~soil ir.vl~ sv~O 4Jfi`.s f'yACBb o./ /S_ ~9 ~~,eas, ~s~~ ,9R~ <br />~, 2 f/LR2S CceR/CrrivT/~, FJPBi/ ~-bi2 Mi..i/,-~~, /~-~'fj?o,Y~ti/A-J.Z~~y 7~~ <br />,jf~MZ /l~Tdiiy /.s s~.rtpPc7?tD Tl`/~s fo,ti,~...~ l,.gy/~ <br />V j/%%~~J <br />8 - o~ <br />