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~l <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Sandco, Inc. <br />PERMIT NO.: M 1987-064 ~~V ~ 1 Q ZQQJ <br />OPERATION NAME: Dalton Land & Cattle ~sion of Reclorration, <br />Mining and Safoty <br />ANNIVERSARY DATE: August 27, 2007 <br />ANNUAL FEE DUE: $791,00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />According to C.R.S. 34-32.5-I 16 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 accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcomingyear,-reclamation-that-wiH'be-perfoi~ned-dm~ing'the-caming year-the-dates-for-the beginning -- <br />ofactive 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 vear and no new chances to <br />the previous year's man are necessary, then no new moo is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map thad clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David Dillon <br />Permittee Name: <br />Address: <br />Sandco, Inc. <br />P.O. Box 4440 <br />Durango, CO 81302 <br />Phone Number; (970) 247-1303 <br />Fax Number: (970) 382-9220 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />bel w or attach it this form long with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />7-~ 9- d <br />Date <br />