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. , b~l~ ~ <br />vANNiiAi. FF.F, and REPORT RF.ni1F.ST <br />RECEIVED <br />PERMITTEE NAME: /Fremont County <br />PERMITNO.: /M-1990-138 ~ FEB 0 3 2006 <br />OPERATION NAME: Stirrup Pit d Division of Mine~ats and Ceoicgy <br />ANNIVERSARY DATE: January 20, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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 <br />- operator shall submit-the annual-fee, a r poe and map showing"the exteht of current ais`turbances o affected- <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual rennrt and annnal re n{1 rt maTtn this form. Please note [hat an <br />adequately labeled map that clearly delineates and includes the above elements may sufftce for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Curtis Stone <br />Permittee Name: Fremont County <br />Address: Fremont County Commissioners <br />615 Macon Ave., Room #105 <br />Canon City, CO 81212 <br />Phone Number: (719) 276-7320 <br />Fax Number: (719) 275-7626 <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 <br />enclosed. <br />Signature of Corporate Of cer, Owner, or Designee <br />1~f,3~,s <br />Date <br />M:IPERMITNIASTERD000MENTSNI-AF-04 <br />