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~-~ _ ~ P ~ v <br />ANNUAL FEE and REPORT RE EST R EC E wE D <br />PERMITTEE NAME: /Quarter Circle 8 LLLP ~N 0 5 2007 <br />PERMIT NO.: .iM-1980-003 prv/Islon of Reclamation, <br />/ Mining and 5efety <br />OPERATION NAME: McNulty Cinder Pit i' <br />ANNNERSARY DATE: January 23, 2007 <br />ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) <br />COUNTY: Eagle <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 annual fee, a report and map showing the extent of current disturbances to affected land, <br />_ reclamation accsmplished_to_late_and_during the preceding year,_new disturbances-thatare-anticipated-to-eecur <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 report and annual report map to this form. The Annua- Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />man. If no new disturbances or reclamation have occurred durinc the arevious veer and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Oaerator shall state <br />this in the Auuual 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: Sazah L. McNulty <br />Permittee Name: Quarter Circle 8 LLLP <br />Address: 7747 County Road 100 <br />Cazbondale, CO 81623 <br />Phone Number: (970) 963-4363 <br />Fax Number: <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />Signature of Corporate Officer, Owner or Designee <br />i~2 ~ `o] <br />Date <br />~~\ <br />C <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed. <br />