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<br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Seneca Coal Company <br />M-1982-036 <br />Mesa Gravel Pit <br />June 22, 2001 <br />REClE1VEfl~ <br />~uN r e 2c;;~ <br />Oi~ision of Minerals and Gealag~ <br />$ 68800 ~~~ ue ou or before your anniversary date) <br />Routt <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 />operator shall submit the annual fee, a report 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 yeaz, if any. <br />Please attach your revised written annual report and annual report man to this form. Please note that an <br />adequately labeled map that clearly delineates and inc/odes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information- Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Pertnittee Name: <br />Address: <br />Michael G. Altavilla <br />Seneca Coal Company <br />P.O. Box 670 <br />Hayden, CO 81639-0670 <br />Phone Number: (970) 276-5106 <br />Fax Number: (970) 276-3014 <br />GreQa Kitchen <br />(970) 276-5103 <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 forth along with your written report and map. Annual Report instructions are <br />enclosed. <br />T .~^C~v <br />tore of orporate Officer or Owner <br />~~ly~o~ <br />Date <br />M ~PERMITMASiERDOCUMENiSU7-AF~ O I <br />