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ANNUAL FEE and REPORT REQUEST REC~IVE® <br />PERMITTEE NAME: McAtee Construction Co. FEB 19 2000 <br />PERMIT NO.: M-1976-056 Division of Reclamation, <br />OPERATION NAME: Riverside Pit Mining and Safety <br />ANNIVERSARY DATE: February 22, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Logan <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, ar~d 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 i!a 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 sr ffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Tim Gossman <br />- - ~~til~, <br />Permittee Name: McAtee Construction Co. <br />Address: F'.O. Box 1908 <br />_ __ _ _ __ _~ . - - -- Sterling, CO-80751 - <br />Phone Number: . (970) 521-0651 <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 Corporate Officer, Owner, or Designee <br />Date <br />