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~s~ <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />1% ANNiIAf, FF.F, and RF.PnRT RF.QiTF,ST <br />t/ Ace West Trucking, Inc. <br />/M-1999-007 <br />North River Gravel Pit Extension <br />Apri128, 2006 <br />RECC~'',r~C~ <br />~ MAR 1 ~ 2006 <br />v pNRwn of Minerals antl Geology <br />$281.00 (Due on or before your anniversary date) <br />Rio Blanco <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 man showine the extenLo~cuxrent, disturbances-to-affected-}and,--- <br />reclamaiion`acwmplished to date and during the preceding year, 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 y~ir revised written anmral renn and annnal refit man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Donald O. Rooks, Jr. This pit i s inactive a t <br />Permittee Name: Ace West Trucking, Inc. this time . N o mining i s <br />Address: P.O.Box250 being done at this site. <br />Rangely, CO 81648 <br />Phone Number: (970) 675-2753 <br />Fax Number: (970) 675-2702 <br />If you have additional comments andlor 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 />~~~ ~ <br />Signature of Corporate Officer, Owner, or Designee <br />-O~ <br />Date <br />