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<br />r~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMIT`fEE NAME: r/ ,Sandco, Inc. REL+~~~,~~ <br />PERMIT NO.: M-1987-044 <br />~~V~ Z 7 2~~ <br />OPERATION NAME: Walker Pit ~ <br />ANNNERSARY DATE: August 27, 2006 /Oivision of Minerals and GealoBY <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COLJN"I'Y: La Plata <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 annuai fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished tb date arid' during the preceding year, new distuiliances 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 vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />man (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 />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: David Dillon <br />Permittee Name: Sandco, Inc. <br />Address: P.O. Box 4440 <br />Durango, CO 81301 <br />Phone Number: (970) 247-1303 <br />Fax Number: (970) 382-9220 <br />If y'u have additionai comments and/or information that should be provided to the Division, please provide it <br />belo or attach it to th' form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Co rate Officer, O r, or Designee <br />1D_ d~ <br />Date <br />