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ANNUAL FEE and REPORT REQUEST <br />eerrt~ie=n <br />PERMITTEE NAME: 3B Enterprises, LLC A~G 2 $ 2~~~ <br />PERMIT NO.: M-2001-060 Division of Reclamation, <br />Mining and Safety <br />OPERATION NAME: Deakins Pit <br />ANNIVERSARY DATE: ~1uga-' ^~"ovv- <br />-rVr,oo <br />ANNUAL FEE DUE: $688:90 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 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 your revised written annual report and annual report maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />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: Steve Baker <br />Permittee Name: 3B Enterprises, LLC <br />Address: <br />Phone Number: <br />CF.PR.address_1 <br />P.O. Box 1665 <br />Craig, CO 81626 <br />(970)824-0225 <br />Fax Number: (970) 824-0225 <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 fo}m along with your written report and map. <br />I, <br />~~ 1 <br />Signatures of~Corp~or ~ /Officer, Ow/ner, or D+esyyignee <br />Date <br />Annual Report instructions are enclosed. <br />