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.9~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~F ~ ~~~ , / <br />ANNUAL FEE and REPORT REQUEST" <br />Duran & Pearce Contractors, Inc. ~/~ <br />M-1990-140 <br />Martin Pit 1-A <br />December 18, 2007 <br />~~~~pa~i <br />®EC 1 `~ Z007 <br />Division otand safety n <br />Mining <br />$$323.00 (Due on or before your anniversary date) <br />Moffat <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-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 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, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous vear and no new changes to <br />the previous year's map are necessary, then no new map 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: Jim Duran <br />Permittee Name: Duran & Pearce Contractors, Inc. <br />Address: 504 Stock Dr. <br />P.O. Box 1331 <br />Craig, CO 81626 <br />Phone Number: <br />Fax Number: <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 orporate ~cer, Owner, or Designee <br />(970)824-4014 <br />Date <br />