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~~f ~I I <br />A AL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />;~R/NP Enterprises, Inc. <br />~4I-1981-276 <br />Hertzog Pit <br />July 22, 2007 <br />~~ t~~'"~~~D <br />t/JU~ 1 b F007 <br />611k ®n ar Keclarnaton <br />~lning and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Moffat <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,--s-report-and-map-showing-the-extent-of- current-disturbances-to-affcetcd land, - <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <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 resort and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances 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 wrttten report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Russell D. Taylor <br />Permittee Name: RNP Enterprises, Inc. <br />Address: 1135 County Road 30 <br />Craig, CO 81625 <br />Phone Number: <br />Fax Number: <br />(970) 824-5771 <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 enclosed. <br />_/' <br />Signature of Corporate Officer, per, or Designee <br />-- 3 0 - G <br />Date <br />