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~ ~< <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />The Fort Lyon Canal Company <br />M-2001-097 <br />Fort Lyon -State Pit No. 1 <br />October 8, 2006 <br />~EP 2 2 2006 <br />Division of Reclamation, <br />Mining and Safety <br />$688.00 (Due on or before your anniversary date) <br />Bent <br />~/~i°~ <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 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 />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous veer and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Manuel Torrez <br />Permittee Name: The Fort Lyon Canal Company <br />Address: 750 S. Bent Ave. <br />Las Animas, CO &1054 <br />Phone Number: (719) 456-0720 <br />Fax Number: (719) 456-1609 <br /> <br />.C <br />. c~' <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 />M ~ - <br />®~\ \o. <br />Signature of C orate O cer, Owner, or Designee <br />r1\io\b~ <br />Date <br />