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~II II~II~II~~~~~ ~I~ <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Pioneer Sand Company, Inc. <br />M-1985-082 <br />Rock Pit Mine <br />December 30, 2001 <br /> <br />NOV 2 ~ 2009 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Moffat <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />-- reclamation accomplished-to date and during the preceding yeas, new disturbances`that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice jot a K~rittett report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permi[tee Contact: Joe Kraig <br />Permittee Name: Pioneer Sand Company, Inc. <br />Address: P.O. Box 7650 <br />Colorado Springs, CO 80933 <br />Phone Number: (719) 599-8100 <br />Fax Number: (719) 598-7605 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~t/o ye?7ui~ ~ If~ePo/P1~ J7/ie F/tJT GI,~~. ~ivi~, o/ /F /¢~"~ <br />$ ~ T u~%yy ~~CPcc,T~G' /-/ 7~.~~ ~~s~.,~ y~.~s2 <br />v <br />Si ure o//orp/orate ~ tce /r Owner <br />e~,~' ~ v~/~ l <br />Date <br />Al ~PERMITMASTERDOCUh1ENTSNI-AF~01 <br />