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<br /> <br />RECEIVED <br />APR 2 6 2004 <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Schmidt Construction Company <br />M-1989-065 <br />Winkler Light Aggregate Quarry <br />Apri126, 2004 <br />$688.00 (Due on or before your anniversary date) <br />Douglas <br />YiYision ~f 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_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 ynnr revised written anm~al rennrt and anneal rennrt mare to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Scott Davis <br />Permittee Name: Schmidt Construction Company <br />Address: 2635 Delta Dr. <br /> Colorado Springs, CO 80910 <br />Phone Number: - (719) 392-4207 <br />Fax Number: (719) 392-4245 <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 />~~ c <br />Signature of orporate Officer, Owner, or esignee <br />.~ to-ay <br />Date <br />