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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />Rose Red Corporation <br />M-1978-332 <br />Colorado Rose Red Pit <br />October 23, 2010 <br />CISIVO <br />OCT. L z 2 <br />ct" <br />G 1? U. <br />$n <br />$$323.00 (Due on or before your anniversary date) <br />Larimer <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-ac--complished-to-daterand_during the-preceding-year, new disturbances that are anticipated to occur <br />- -- - - - -- - -- - - - - <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. 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 year's map 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 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: Daniel J. Liesveld <br />Ca. l-e- 6 0. 1-J'es vial <br />Permittee Name: Colorado Rose Red Corporation <br />Address: 148 Cheyenne Ct <br />Lyons, CO 80540 <br />Phone Number: (303) 823-6023 <br />Fax Number: <br />(? 0 ) ? Z 3 (00 2---2?, <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 you written report and map. Annual Report instructions are enclosed. <br />Signature Co orate Officer, Owner, or Designee <br />/651-/9-/0 <br />Date