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~~ t- RPT <br />ANNUAL FEE and REPORT RE VEST <br />PERMITTEE NAME: Dumb & Dumber Trucking LLC <br />PERMIT NO.: M-2000-149 ,~ <br />OPERATION NAME: Barton Pit <br />ANNIVERSARY DATE: J ary , 008 <br />ANNiJAL FEE DUE: $$323.00 Due on or before your anniversary date) <br />COUNTY: <br />!~ !4~'E® <br />MAR 10 2fl08 ~ <br />®ivision o~ itec-amation, <br />Mining and Safety <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 />-~=reclumatie :-ae.pkshed- ~o-dateaard-d'~~r-eee-ding= }ea~~-w-dicer-bances-tlia_t Gr~-a= t~i~ipafe-d-te-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 durinL 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: Brian Barton <br />Permittee Name: Dumb & Dumber Trucking LLC <br />Address: 1957 CR 57 <br />Phone Number: <br />Fax Number: <br />Sterling, CO 80751 <br />(970)522-6220 <br />If you have additional co ents and/or information that should be provided to the Division, please provide it <br />belo~~rfattach it to th;/along with your written report and map. Annual Report instructions are enclosed. <br />,~gnature of C6rp1~o//~ Oafif/(i/~ce~crl,/Owner~J,~(/'/or Designee <br />Date <br />