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f • III I I I I I I I II IIII III • ///JJJ///��I <br /> 999 <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: Raymond F. & Robert W. Dellacroc FEB 2 2 2001 <br /> PERMIT NO.: M-1993-050 Division of Minerals and Geology <br /> OPERATION NAME: Dellacroce Pit <br /> ANNIVERSARY DATE: February 22,2001 <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: El 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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to 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 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 for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> PenmitteeContact: Robert W. Dellacroce Robert W . Dellacroce <br /> PermitteeName: Raymond F. & Robert W. Del lacroc Raymond F . & Robert W. Dellacroce <br /> Address: 2210 W. Baptist Rd. 2210 W Baptist Rd <br /> Colorado Springs, CO 80921 Colorado Springs , CO 80921 <br /> Phone Number: (719) 481-2452 (719) 481-2452 <br /> Fax Number: (719) 389-0971 (719) 389-0971 <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 /> Sig ore Corpoz <br /> f c (or Owner <br /> o <br /> Date <br /> M NERMIT\MASTERDOCUMENTS\A1-AF-01 <br />