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.~. ~T <br />~~ <br />ANNUAL FEE an REPORT REQUEST RECEIVE® <br />PERMITTEE NAME: ~MWCA, Inc. '~EB B 4 2000 <br />PERMIT NO.: ~M-1977-227 Divi 'on ofi Reclamation, <br />,~Aining and Safety <br />OPERATION NAME: Mesita Hill Pit <br />ANNIVERSARY DATE: February 9, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Costilla <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 />- f -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 year 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 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: Paul L. Glader <br />Permittee Name: MWCA, Inc. <br />Address: 6500 Mineral Dr., #200 <br />Coeur d'Alene, ID 83815-9408 <br />Phone Number: (208) 769-4100 <br />Fax Number: (208) 769-4107 <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 fo g with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />2~/ ~08 <br />Date ~ 1 <br />