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~~ ~- 2~T <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />RECEIVED <br />ANNUAL FEE and REPORT REQUEST <br />Lindsey Canyon, LLC <br />M-2000-072 / <br />OCT 15 2001 ~/ <br />Division of Reclamation, / <br />Mining and Safety <br />Lindsey Canyon LLC <br />October 29, 2007 <br />$5323.00 (Due on or before your anniversary date) <br />Montrose <br />`_According_to C.R.S._3932_S-Ll6_nr_C_B.S._34_32,L16,_eaclLyear,.on_the anniversary~ate_nEthe 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 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 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 year and no new changes to <br />the previous year's map are necessary, then no new man 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 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: Gary W. Cooper <br />Permittee Name: Lindsey Canyon, LLC <br />Address: 11554 64.50 Road <br />Montrose, CO 81401 <br />Phone Number: (970) 249-8348 <br />Fax Number: <br /> <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 />'gnature q orporate Officer, er, or Designee <br />Date <br />