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m <br /> <br />Durango, CO 81301 <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: r/ S~indco, Inc. REC~~~ ~~ <br />PERMIT NO.: M-1986-165 v~uL 27 Z0~ <br />OPERATION NAME: Willow Bend <br />nd Gsalapv <br />ANNNERSARY DATE: August 27, 2006 - Division of Minerals a <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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, riew 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 far 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 D. Dillon <br />Permittee Name: Sandco, Inc. <br />Address: P.O. Box 4440 <br />Phone Number: <br />Fax Number: <br />If yo have additio <br />belo or attach it to <br />Signature of C or <br />(970)247-1303 <br /> <br />;omments and/or information that should be provided to the Division, please provide it <br />form along with your written report and map. Annual Report instructions are enclosed. <br />Officer, Owri§~ or Designee <br />-!U - <br />Date <br />