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~~~~T <br />ANNU EE and REPORT REQUEST <br />PERMITTEE NAME: ~ Precision Excavating, Inc. <br />PERMIT NO.: /M-2001-023 <br />OPERATION NAME: Camilletti Milner Pit #2 <br />ANNNERSARY DATE: August 1, 2007 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Routt <br />,E}~ <br />~~ <br />~~~`'~ ~~ <br />~aD <br />G~ivso UG p ~10p7 <br />Mining antl Safety on. <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accoinplistied to date and during the prece~Ic ing year, new isturbances tthat 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 vear and no new chances to <br />the previous year's moo 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 written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David S. Zehner <br />Permittee Name: Precision Excavating, Inc. <br />Address: P.O. Box 790 <br />Hayden, CO 81639 <br />Phone Number: (970) 276-3359 <br />Fax Number: (970) 276-3084 <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 />A,~~. <br />V'U U~' <br />Signature of Corporate f 'cer, Owner, or Designee <br />Date <br />