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ANNUAL FEE and REPORT REQUEST <br />Billy Hale and Bonnie Solberg <br />M-1981-121 <br />Hale Pit aka Earl's Pit <br />July 23, 2002 <br />JUL 18 2001 <br />PERMITI EE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ICJ- <br />RECEIVED <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />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 operator <br />shall submit the annual-fee; a repor~'and-tnap`shawing the-extent-of-current-disturbances-to-affected-land; - <br />reclamation accomplished 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 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. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Billy Hale and Bonnie Solberg CF.PR.contact_last_name <br />Permittee Name: Billy Hale and Bonnie Solberg <br />Address: 7595 California Dr. <br />Colorado Springs, CO 80922 <br />Phone Number: (719) 495-2592 <br />Fax Number: <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 />,~~~ ado, <br />Signature of C rporate Officer or Owner <br />Date <br />M 1PERMI7IMASTERD000MENTSU7-AF-01 <br />