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J? <br />ANN L FEE`an PORT RE UEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />CC lorado Quarries Inc <br />I/ M-1992-058 <br />Mica White <br />RECEIVED <br />44UG 1©?nnq <br />Division of Reclamation, <br />Mining and Safety <br />August 5, 2009 <br />$$323.00 (Due on or before your anniversary date) <br />Fremont <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 />-reclama ion- accomplishe_d..to-date_and durin j_K-pL eding 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 bekinning <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 during the previous year and no new changes to <br />the previous ear's ma arLnecessary, then no new ma 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: Bill Tezak <br />Permittee Name: Colorado Quarries Inc <br />Address: 270 S 15th St <br />Phone Number <br />Fax Number: <br />Canon City, CO 81212 <br />(719) 275-6894 <br />(719) 275-2131 <br />If you have additional <br />below or attach it to this <br />ign ur of Corporate <br />i <br />Date <br />ents and/or information that should be provided to the Division, please provide it <br />along with your written report and map. Annual Report instructions are enclosed. <br />signee N o /b Vx,- C(S