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<br />PERMITTEE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />~Montrose Couuty <br />VM-1977-407 <br />Cedar Creek Pit <br />January 30, 2007 <br />of-f5'~ <br />6dECE1VED <br />'~ JAN 15 2007 <br />/Divis~en of fte~_i, nation, <br />Mining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.S. 34-32,5-116 or C.R.S. 34-32-116, each yeaz, on the anniversazy 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 yeaz, new disturbances that aze anticipated to <br />occur during the upcoming yeaz, 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 year, if any. <br />Please attach vour revised written annual report and annual resort map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, resort, and <br />associated man. If no new disturbances or reclamation have occurred durinti the previous vear and no <br />new chanties 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: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 161 S, Townsend <br />Phone Number: <br />Fax Number: <br />If you have addi'ti~ <br />below or attach it <br />Montrose, CO 81401 <br />(970) 252-7000 <br />(970)252-7010 <br />comments and/or information that should be provided to the Division, please provide it <br />phis form along with your written report and map. Annual Report instructions aze <br />of Corporate Officer, Owner, or Designee <br />Date <br />M:~PERNIIT~MASTERDOCUMENI'SV~d-AF-Oa <br />