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;~-« <br />'~: <br />~~r~ ~pa~ <br />ANN-UAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Colorado Division Highways <br />PERMIT NO.: M-1986-037 <br />OPERATION NAME: BLM Olathe Pit <br />ANNIVERSARY DATE: February 1, 2008 <br />~~~~~V~® <br />MAR 2 4 2008 <br />Division of declamation, ~j <br />Mining and Safety ~/ <br />ANNUAL FEE DUE: $$323.00-(Due on or before your anniversary date) <br />COUNTY: 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 submit the annual fee, a report and map showing the extent of current disturbances 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 durin the previous year 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: Jason Smith <br />Permittee Name: Colorado Division of Highways <br />Address: 222 S 6th St Rm 317 <br />Grand Junction, CO 81501 <br />Phone Number: (970) 248-7239 ~~7d~~~ _ 2 2 ~ <br />Fax Number: (970) 248-7292 ~'~ 7~) ~R ~~2 ~ <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 />enclosed. <br />Signature o orporate Officer, Owner, or Designee <br />TDN~~ Rt /120~'~ D i.U ~~~ ~_ <br />~- ~~'~ d~ <br />Date <br />M:~PERM IT1MA STERDOCiIM ENTSVvf-AF-04 <br />