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F"sB-U~200T 03:25PM FROM-DIV RECLAMATION MINING & SAFETY ~ ~ 3030 8/ <br />ANNliAL FEE an REPORT UEST <br />PERMITTEE NAb4E: f/ Co Hell Resoui ces, lac. <br />PERMIT NO.: 995-035 <br />OPERATION NAME: Wellington Downs Pit <br />ANNIVERSARY DATE: January 22, 2007 <br />T-048 P 003/003 F-274 <br />1, ~~..~ <br />~~ ~ 5 zro~ <br />Dimsi ~i of Rec!zmation, <br />pining and Safety <br />ANNUAL FEE DUE' 55688.00 (Due on or before your anniversary date) <br />COUNTk : Latimer <br />According : CR.S. 34-32.5-21ti or C.R.S. 34-32-I 16, each year, on the anniversary date of [he permit, an opera[or <br />shall submn the annual tee, a rzpor[ 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 perf;-med during [lre r7minR year, the dates for the beginning <br />of active operations, wtd the date active-operations ceased for the year, .f any ~ - _- -' ` - ~ - - <br />Please attach Vour revised written annual report and annual report man to this form. The Apnual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maD- If no new disturbances or reclamation have occurred durinir the previous Vear and no new chaat±es to <br />the previous Veilr's map arc oecessarv, then no new maD is required, Drovided that the Operator vhall state <br />this io th_A.nnuat Reuorr. Please Wore that an adequately labeled mop Char clearly delineates and includes the <br />above elen;enrs may since jar a written report. <br />Division records ~.indica[e.rlte following permittee contact informanon. p:easz verify and make any necessary <br />changes:-- --- _- -- - - -- - <br />Permittee Contau: Richard Connell <br />- ~~~l.vci l'o~ nil (- <br />Perminee Names Connell Resources, Inc. Y1 P ~C ~~'' ``S,,,,,O u1~~S <br />Address: '~' ' 4305 E. Harmony Rd. ~?JOS ( `r~,Vy'~(~ h (.( ~r^~ <br />Fort Collins, CO 80528 ~~_~~)~ i'~ l~ (~(}~~ <br />Phone Number: (970) 223-3151 l~-1~0~\ <~~jj.,t-J' •~ ~n~ <br />Fax Number: (970)223-3191 ~q~b) /_23-.~~! <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or atlacC~ rt to this focm along with your written report and map. Annual Report instructions are enclosed. <br />t~\\\~~~ --- -~ -- <br />S~gnaturt of Corporot iCer, Owner; or Designee ~ - "c"'~ `" <br />~~~, ~ _ <br />Dale , ~ ' <br />