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<br />r. <br />d~ <br />~~ % APT <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/Moffat Couuty <br />~t1-1980-248 <br />Lyons Pit No 2 <br />February 4, 2007 <br />~ ~ ,r., r;- n---- <br />~. ~~11~~ <br />r <br />~~, "~ - 5 SOOT <br />$$658.00 (Due on or before your anniversary date) <br />Moffat <br />i <br />~, yc3 <br /> <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 year, if any. <br />Please attach vour revised written annual report 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 Vear's map are necessarv, 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 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: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br /> Craig, CO 81626 ~^ _ - - _ -- - - _ ~ ~ ____. <br />Phone Number: (970) 824-3211 <br />Fax Number; (970) 824-0356 <br />If you have additional comments and/or informafion 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 />~QQ~., ~ ~7~~~~~ <br />Signature orporate Officer, Owner, or Designee ~ P\ ~~ <br />Billy E. Mack ~(~~ ` <br />>~~5-~ ,~ 292001 <br />Date <br />DNis; ,~ cs Reclaa eb n. <br />m~nll and S <br />M:~PERMITMASTERDOCUMENTSUI-AF-04 <br />