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~~s~~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ Nuvemco, LLC <br />1978-222-UG <br />Monogram Mines <br />March 1, 2008 <br /> <br />f~ ~~~® <br />DEB 2 5 2008 <br />ivision of Fteciarnation, <br />Mining and Safety <br />$$259.00 (Due on or before your anniversary date) <br />Montrose <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 <br />---- -°-- operator shall submitthe-annual fee, a report and map-showing thy-extent=ofcurrent-disturbanc~s-to affected- -~ <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map If no new disturbances or reclamation have occurred during the previous vear and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Henry M. Carter <br />Permittee Name: Nuvemco, LLC <br />Address: 10771-3200 Rd <br />Hotchkiss, CO 81419 <br />Phone Number: (970) 872-3247 <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 <br />enclo <br />F <br />Si afore of Corporate Officer, Owner, or D ignee <br />02- ~-/~-~B 0 ~' <br />Date <br />M:IPERMIT~MASTERDOCUMENTS/M-AF-02. DOC <br />