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<br />v ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~ Moffat County <br />PERMIT NO.: /M-1980-239 <br />OPERATION NAME: Sweeney Pit No 30 <br />rn~ <br />IZ-a~ d6 <br />~t~r+r~o rr <br />nov ~: zoos <br />Dive^`on of Rec:ama.,on, <br />Naming ant Sa~ety <br />1-` r <br />L . ,y~ <br />ANNIVERSARY DATE: December 19 2006 ~ i. ' <br />.j <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) ~' ~' J' <br />,.... _ r,~~, <br />COUNTY: Moffat ~ "~ <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the peIIllit, an <br />operator shall §ubmit the annual fee, a report and map showing the eartent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding yeaz, new disturbances that aze anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the yeaz, if any. <br />Please attach your revised written annual renort and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />_Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may 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: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <br />Craig, CO 81626 <br />Phone Number: (970) 824-9249 <br />Fax Number: (970) 824-0356 <br />Jf you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. The BLM Portion of the Sweeney Pit has. been reclaimed. The Kennecott Portion <br />is. Stockpile„ped~~ion Anly - no p required. There has been no new disturbance. <br />Signature of orpora fficer, Owner, or Designee <br />~~Li/a~ <br />,> <br />Date <br />M~PERNII'PMASTERDOCUMEN'ISVvt-AF-P4 <br />