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fl~ ~ R~- <br />ANNUAL FEE and REPORT REQUEST <br />~F~. <br />PERMITTEE NAME,; Routt County <br />PERMIT NO.: M-1979-058 <br />OPERATION NAME: Funk & Hooker Pit <br />ANNIVERSARY DATE: Apri126, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Routt <br />~~~~a~~® <br />APR 01 200 <br />Divisio~~ °ta a Safety n~ <br />Mining <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 Rio new disturbances or reclamation have occurred Burins the previous year and no <br />new chances to the previous year's map are necessarv,_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: ]3eather R. McLaughlin <br />Permittee Name: Routt County <br />Address: 1?.O. Box 773598 <br /> ~a <br />Steamboat Springs, CO 80477 <br />Phone Number: 1;970) 870-5337 <br />Fax Number: 1;970) 879-3992 <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. Annun'I Report instructions are <br />enclosed. _ e ./ <br />Signature <br />Date <br />Owr~~r, or Designee <br />M:~PERMIIIMASTERDOCUMENTSU~I-AF-04 <br />