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ANNUAL FEE a ~ REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />- Linke Construction Inc. <br />~ M-2004-061 <br />Cottonwood Quarry <br />May 23, 2007 <br />,~ <br />.~~pR 26 T007 <br />Division ot,~aclamEtion, <br />mining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Grand <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 <br />---eperator-shall-submit-the-annual-fee;-a-report-and-map-showing. the extent-of-canent-dish!rbancesao-affecYeil- - - - <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 renort and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated man. If no new disturbances or reclamation have occurred during the previous vear and no <br />new chances to the arevious year's map are necessary. then no new man is required, provided that the <br />Ouerator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richazd Linke <br />Permittee Name: Linke Construction Inc. <br />Address: P.O. Box 1006 <br />Phone Number: <br />Fax Number: <br />Granby, CO 80446 <br />(970)887-2811 <br />(970)887-0188 <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. <br />~~0~ <br />Signature of Corporate icer, Owner, or Designee <br />~/-/~- <br />Date <br />M: WERMITMASTERDOCUMEMS\M-AP-04 <br />