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~rRP~' <br />ANAL I1EE and REPORT REQUEST <br /> RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br /> <br />OPERATION NAME: ~B Enterprises, LLC <br />.NNf 1998-003 <br /> <br />Raftopoulos Pit #1 ~PR 2 <br />~ 7 2007 <br />OJttision of Reclamation, <br />Mining and Safety <br />ANNIVERSARY DATE: Apri128, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your a nniversary date) <br />COUNTY: 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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />- -land,Teclamation 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 report 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 map. If no new disturbances or reclamation have occurred durine the previous year and no <br />new chances to the previous year's map are necessary. then no new map is required. provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Steve Baker <br />Permittee Name: 3B Enterprises, LLC <br />Address: P.O. Box 1665 <br />Phone Number: <br />Fax Number: <br />Craig, CO 81626 <br />(970)824-0225 <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 />Signature of Corpora ficer, Owner, or Designee <br />4 /z~ /r~I <br />Date <br />M:~PERMIr1MASTERDOCUMENTSNI-AF-04 <br />