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MAR-10-2008 09:30AM FROM-DIV RECLAMATION MINING ~ SAFETY +3038328106 T-386 P. 002/002 <br />PEIZMITTEE NAME: <br />PERMTT NQ.: <br />OP>;RATION NAME: <br />ANNT'1lERSARY DATE: <br />ANNiJAL FEE DUE: <br />COUNTY: <br />~~ <br />ANNUAL FFE and ItE ORT REQUEST <br />~chmidt Construction Company <br />198$-044 <br />Coal Creek Resources <br />1Vlarch 2$, 200$ <br />$$791.00 (Due on or before your anniversary date) <br />ArApahoe <br />F-196 , <br />According to C.R_S_ 34-32.5-116 or C.R.S. 34-32-11 f, each year, on the anniversary date of the pCrmit, an operator <br />shall submit the annual fee, a report and map showing the extent of curreni disturbances to affected Iand, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcpming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the dale active operations ceased far 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 />~nstq. If no new disturbances or reclamation have occurred duria~ the previous veer and no new chag~eS =p • •~ ~~ <br />the previous ,year's map are necessarv, then no new uaan is required, provided that the Operator_shall state ~, s~~ <br />this in the Annua! Re ort. Please mote th~rt air adequately labeled map t{rat clearly delineates and includes the ~• <br />above elements may since for a written report. . ' <br />Division records indicate the following permittee contact information. Please verify and make any necessary '• "'' <br />changes: <br />Permittee Contact: Scott Davis <br />Fermittee Name: Schmidt Constriction Company <br />Address: 2635 Delta Dr. <br />___ GQIorado S.prings,_CO_$.Q2L0 <br />Phone Number: (719) 392-4207 • ' ` <br />Fax Number: (719) 392-4245 •° <br />,.:.'. <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 />3 _ ~~_~~_ RECEIVED <br />Date MAR 19 2008 . <br />A <br />Vision of Reclamation, ~ ~ -= , <br />Mining and Safety ~ . <br />