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~yv~W <br />dj~ hh~ <br />R~C~IVE® <br />JUN 2 9 2005 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME; <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Las Animas County <br />M-2000-053 <br />Castillo Pit <br />June 12, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Las Animas <br />Division of Minerals and GealoBY <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 shQwing_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 j9nr revised written anneal report and anneal rennrt main, to this form. please note that an <br />adeguateiy 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 />Permittee Contact: Phil Dorenkamp <br />Permittee Name: Las Animas County <br />Address: 2000 N. Linden Ave. <br />Trinidad, CO 81082 <br />Phone Number: (719) 846-2931 <br />Fax Number: (719) 846-0434 <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 />uace <br />M:~PERMITUTASTERDOCUMENTSVvI-AF-09 <br />4 3 Afl <br />W <br />~ O ~ „ <br />M y l <br />