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~S <br />~\ <br />o /t-. ~' ~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />According to C.R.S. 34-32.5-116 0 <br />operator shall submit the annual fee <br />land, reclamation accomplished to d <br />occur during the upcoming year, rei <br />beginning of active operations, and t <br />Z,as Animas County <br />0 <br />M-1998-011 <br />Unwin Gravel Pit <br />April 1, 2008 <br />$$323.00 (Due on or before your anniversary date) <br />Las Animas <br />,~ <br />--APR 18 2008 <br />,;:..,.. ~,, ~,,~ ~J~~ty <br />C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />a report and map showing the extent of current disturbances to affected <br />e and during the preceding year, new disturbances that are anticipated to <br />tmation that will be performed during the coming year, the dates for the <br />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 <br />Report & Fee requirement is not net until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous vear',~s map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above el~,~,ments may suffice for a written report. <br />Division records indicate the follovv~ing permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Phil Dorenkamp" <br />Permittee Name: Las Animas CoJ my <br />Address: 2000 N. Linden~Ave. <br />Trinidad, CO 8;1082 <br />Phone Number: (719) 846-4766 <br />Fax Number: (719) 846-0434 <br />If you have additional comments <br />below or attach it to this form <br /> <br />of Corporate Officer, <br />Date <br />information that should be provided to the Division, please provide it <br />with your written report and map. Annual Report instructions are <br />9f Designee <br />M:~PERMITVvIASTERDOCLTMENTS~ivf-AF-04 <br />