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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />A~ s ~I I <br />ANNUAL FEE and REPORT REQUEST <br />Schuler Construction <br />~I-2005-002 <br />Schuler Construction Pit # 1 <br />June 24, 2007 <br />$$281.00 (Due on or before your anniversary date) <br />EI Paso <br />~, ~. <br />'a ~,. <br />~~~~ <br />~'r,v „ <br />Di" ;,c , l ~~"L~ <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 dunng the preceding year, n- ew dlsturbances-thaYare anticipated-to-occur- -- <br />during the upcoming year, reclamation that will be performed during the coming yeaz, 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 durinti the previous year and no new chanties to <br />the previous year's map are necessary, then no new moo 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dave Schuler <br />Permittee Name: Schuler Construction <br />Address: 4520 Ramah Highway <br />Yoder, CO 80864 <br />Phone Number: <br />Fax Number: <br />(719)478-2442 <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 />~9.~rEQ./ .A~~ZC All ~rf~~t~JfLA/li~ t ~ <br />J Signature of o~~Officer, Owner, signee ~ _ -vC~ GZ~ <br />~ d~''4, <br />~~ GZ ~~ <br />Date <br />