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r <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />Raymond F. & Robert W. Dellacroc <br />M-1993-050 <br />Dellacroce Pit <br />February 22,2003 <br />RECEIVEp <br />FEB 2 4 2003 <br />Division ~f Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />EI Paso <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 t e annua ee, a repo an map sowing-the ex-tent of-curretrt-disrurbances-ta-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 y.nnr revised written anneal red nrt and anneal rennrt m ~n 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: Robert W. Dellacroce <br />Permittee Name: Raymond F. & Robert W. Dellacroc <br />Address: 2210 W. Baptist Rd. <br />Colorado Springs, CO 80921 <br />f ° --- -Phone-Number: (719) 481-2452- - -- <br />Fax Number: (719) 389-0971 <br />/~ior/rr/ S.~G~ !o tAe G <br />-~./~. D ~~X 7G S 0 <br />Ce% sDy s la/o go9v 3 <br />- - -~i9-_ s~9-9=Si~a <br />7i9- 5"g9- S3l7 <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 along with your written report and map. Annual Report instructions are enclosed. <br />~~ ~/ / n , <br />Signa "lure o1Ct~6rporate Officer, Owner, or De ignee <br />~i~~o3 <br />D- <br />