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FEB - 5 ?nm <br />~~ <br />~~- - <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Moffat County <br />~M-1992-007 <br />Tuttle Pit No 1 <br />March 5, 2007 <br />~l~ <br />RECEdt~~,p <br />BAR X22007 <br />Division of R <br />Mining and Se eahan, <br />y <br />$$688.00 (Due on or before your anniversary date) <br />Moffat <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an <br />operator shall submit-the-armual-fee; a~repart-and-map-showing the extent ofcurrent`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 yeaz, the dates for the <br />beginning of active operations, and the date active operations ceased for the yeaz, if any. <br />Please attach vour revised written annual reuort and annual report map 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 during the previous veer 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: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Phone Number: <br />Fax Number: <br />Craig, CO 81626 <br />(970)824-3211 <br />(970)824-0356 <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 />~~~~~ <br />Signatur Corporate Officer, Owner, or Designee <br />ttiliy Mack, Director <br />Date <br />~`~ ~~ <br />ANNUAL FEE and REPORT REQUEST <br />Sir Ciffac/~O <br />M:~PERMI'MIASTERDOCUMENTSNr-AF-04 <br />