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P~ <br />ANNU FEE' add RE)~ORT REQUEST <br />PERMITTEE NAME: ~ Ace West Trucking, Inc. <br />PERMIT NO.: ./M-1987-103 <br />OPERATION NAME: East Douglas Pit <br />ANNIVERSARY DATE: August 24, 2007 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <br />0~ <br />- AUK p 11007 <br />Division o! <br />~-- Mining a d Sa ety on <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 recedinpzyear, 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 map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />mau. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the previous year's moo are necessary, then no new mau is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may 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: Donald O. Rooks, Jr. <br />Permittee Name; Ace West Trucking, Inc. <br />Address: P.O. Box 250 <br />Rangely, CO 81648 <br />Phone Number: (970) 675-2753 <br />Fax Number: (970) 675-2702 <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 form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, O , or Designee <br />7 a~ -O <br />Date <br />