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295796 06/17/2020 10:27 AM B: 984 P: 610 PERMIT <br /> Page 6 of 44 R $228.00 D $0.00 T $228.00 Clear Creek <br /> 6 1111k; N��IUl;it, N 11 t' ' ;jl N q I'1 11111 <br /> 9. Annually, on the anniversary date of permit issuance, you must submit an annual fee ($172), and an annual report <br /> which includes a map describing the acreage affected and the acreage reclaimed to date(if there are changes from the previous <br /> year), any monitoring required by the Reclamation or Environmental Protection Plans to be submitted annually on the <br /> anniversary date of the permit approval. Annual fees are for the previous year a permit is held. For example,a permit with the <br /> anniversary date of July 1, 1995,the annual fee is for the period of July 1, 1994 through June 30, 1995. Failure to submit your <br /> annual fee and report by the permit anniversary date may result in a civil penalty,revocation of your permit,and forfeiture of <br /> your financial warranty. It is your responsibility, as an operator, to continue to pay your annual fee to the Office until the <br /> Board releases you from your total reclamation responsibility. <br /> 10. For joint venture/partnership operators: the signing representative is authorized to sign this document and a power of <br /> attorney(provided by the partner(s))authorizing the signature of the representative is attached to this application. <br />