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ANNUAL F~E'and RE~T REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/ Jo Ann Vota <br />~M-1982-011 <br />Hillyer Pit <br />June 24, 2007 <br /> <br />RECEIVED <br />JUN 0 4 2007 <br />ivision of Reclamation, <br />Mining and Safety <br />$$281.00 (Due on or before your anniversary date) <br />San Juan <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 operator _ <br />-- -shall-submit the-annu=el-fee; a-repoit"and map showing the extent of current dis~urEanoes to atfecfed 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 vour revised written annual resort and annual reuort 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 />maa. If no new disturbances or reclamation have occurred durinc the arevious vear and no new chances to <br />the arevious year's map are necessary, then no new mau is required, provided that the Operator shall state <br />this in the Annual Resort. 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: Joanna Vota <br />Permittee Name: Jo Ann Vota <br />Address: 315 N. Sunburst Ln. <br />Durango, CO 81301 <br />Phone Number: (970) 259-1319 <br />Fax Number: <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 />f)~ <br />Signatu •e of Corporate Officer, Owner, or Designee <br />s -15-0 <br />Date <br />