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~~r~P~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Marilyn E. Vazquez, Bruce A. Diamond ~ ~~. ~ P "~~ <br />PERMIT NO.: M-2000-099 <br />OPERATION NAME: Pit Number One " FEB 0 7 2007 <br />Division of Reclamation, <br />ANNIVERSARY DATE: February 9, 2007 ~Nlfning and Safety <br />ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) <br />COUN'T'Y: Chaffee <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 (and, <br />rec]amationaccompGshed_to_date_and during the preceding_year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates far 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 maa 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 durinc the previous year and no new chances to <br />the previous year's man 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 dabeled 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: Marilyn E. Diamond <br />Permittee Name: Marilyn E. Vazquez, Bruce A. Diamond <br />Address: 26520 CR 301 <br />Buena Vista, CO 81211 <br />Phone Number: (719) 395-8631 <br />EMAIL <br />Fax Number: (719) 395-8670 A¢ k~i ALtac_.. 0 CyAF F g~f Ll 1~~? <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 />