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-5- <br />1C71~_ 9. A~mlly, as the ammversary date of permit i~mace, yon ~t sub®t an affiust See ($225k and an amm~ai <br />report which ioch~ a crap descnbing the acreage affxted and the rrclsirrCd to date (if there are <br />Scam ~ p yak ~y g ~~ by the Reeta~ma or Envirmmmfat 1'rotectiaa <br />P}a~ to be submitted aoanaify oa the aomversary date of the p®it approval. Aral Sms as for the <br />pitviors year a pemit is laid. Far exampte, a pemrit wvh t1= ~vetsary date of hily 1, 1995, the amoral <br />fee is for the period of hdy 1,1994 through June 30,1995. Fatltne to snb~t yoor anmral fee and rcport by <br />the permit armivas~y date may r®dt in s civil penalty{ revocati® of pas pemrit, and forfeiture of yota <br />fmaarial vuaasnty. ll is roar reality; as an operator f4 to pay y~ amaml fee to the Offrce <br />ao~ tlx hoardreleasesym» fromyour ~otalrxlamazicnrespr~rln'tity: <br />1~L 10. the aiga~ representative is sutbnriad Oo sign this doamant sad a <br />power of attorney (provided by the pazmer(s)} the of t>>e repteaerdative is attadmd m <br />thisappficati®. <br />man; Pfeaae read a>ul imtiat flue emditim~~ ip Qe ~ prpvided, is aCimOwiCdgC Chet you rmderstand <br />yronr obFigatioa. lfyou do mrt y~ obligation thmplease contact this t7fficc for 8 full eaptanation. <br />A reportable spiII is a spi71 of any togs or lts~rdoas srd (including spr7ls of petroleran products) <br />within the mirmd land permit aces reportable io anyy Divisi~ of the Colaado Deparmwm of Public <br />lieattb and the Favaot®mt, the Natimral Response Center, t>ic Colorado Emergrnry Ptannmg <br />Commis~oq any focal Finage~y Phm®g Camm~ioo, local l?merg~y Pta~nB Cr~ttoe, or the <br />Statc tJrl IvspaKOr. The 11~fine Opvstor abaQ notify the Division of 1-~aa1s a~ Geology (DMG) of a <br />reportable sprit within the mined ~ permit area using tlr same timeframc regaued by the permmt, <br />liceosc, notice, atat¢ft, rate ~ regutaticar governing the reporting of the ~ to ffie otter appropriate <br />agency. 1Qctice of a reportable sprit sbad be FAXed to: Mmecats Progtmrt Srtpavisoy livision of <br />Mliaaa}s ~ Gedogy, FAX (303} 832-8t06. T~ FAX shall iacl~e a caII-baci<manbc of a respoosrbh <br />company offrc>al faDMG staffto aSe as a . <br />