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/Vt~L <br />~~~o~l <br />C~"'~ <br />T,, <br />~„ _.~'~7~ ~~ <br />PERMITTEE NAME: ~ Kagan & Son, L.L.C. '- <br />PERMIT NO.: / M-1994-114 ~ SFP ag ZT~j <br />~C:r;- ., <br />OPERATION NAME: /Nordyke Pit No 2 "~ ~'F=-r,~, <br />,:... <br />ANNNERSARY DATE: October 5, 2006 ' - <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Custer <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_thatare_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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's map are necessary. then no new map is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Andrew and Rebecca M Kagan <br />Permittee Name: Kagan & Son, L.L.C. <br />Address: 555 Ernest Ave <br />Westcliffe, CO 81252 <br />Phone Number: -~~4~j-~$3=X7-43-" <br />Fax Number: <br />7l `I- 783-2867 <br />7 i R- 7 8~- :30 39 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~~"---7 <br />Signature of Co ~ e Officer, Owner, or Designee <br />9~l 3 ~06 <br />--~ <br />Dae <br />