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MAR-10-2008 02:43PM FROM-DIV RECLAMATION DINING & SAFETY +3038328106 T-39T P.002/002 F-300 <br />PERMTI'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RFpUEST <br />Deaver Water Department <br />M-1977-153 <br />]Keclamation Pit No i <br />February 7, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Adams <br />R~CEIVE® <br />MAR 17 2C +~`~ <br />Division of Reclamation, <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 />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 our revised written annual re ort and annual re ort ma to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee re o and associated <br />ingp. Yf no new disturbances or reclamation have occurred durin the revious veer and no new char es to <br />tl~e revious ear's map are necessary, then no new map is required provided that the Operator shall state <br />this in the Annual Re ort. Please note the[ an adequately labeled map that clearly delineates and includes tl:e <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 />Pertnittce Contact: John fT. Bambei, Jr <br />Permittee Name: Denver Water Department <br />Address: 1600 W. 12th Ave. <br />Denver, CO 80204 <br />Phone Number: (303) 628-6669 <br />Fax Number: (303) 628-6851 <br />If you have additional comments and/or information that should be provided to the Division, please provide i¢ <br />below or attach it to this form along with your written report and map_ Annual lZepon instructions are enclosed. <br />S~ a e of o orate Office O eT, or Designee <br />3 - l3 - c~~ <br />Date <br />