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+[ 3. r~ <br />i,~f ~P~ I <br />ANNUAL FEE and REPORT REQUEST \ <br />PERMITTEE NAME: /Routt County ~ ' ; \ <br />ors,; .; <br />PERMIT NO.: /M-1979-058 ~~: ~?n a - ~ ~ > <br />~~G7~ ~'' ?q . <br />OPERATION NAME: Funk & Hooker Pit `~c mac` `~ ;-t <br />ANNPJERSARY DATE: April 26, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Routt <br />_ According to C.R.S. 3432.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a repoi=t-and map showing the extent of current disturbances to-affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report mao to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated mao. If no new disturbances or reclamation have occurred during the previous vear and no <br />new chances to the previous year's map are necessary. then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Heather R. McLaughlin <br />Permittee Name: <br />Routt County <br />Address: <br />P.O. Box 773598 <br />P.O. Box 773598 <br />Steamboat Springs, CO 80477 <br />Phone Number: (970) 870-5337 <br />Fax Number: (970) 879-3992 <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 your written report and map. Annual Report instructions are <br />enclosed. ., , a „ ~ 0 / <br />or lies~gnee <br />M:NERMI7IMASTERDOCUMENTSM-AF-P4 <br />