2008-04-01_REPORT - M2006054 (3)

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~~ ~ R~ ANNUAL FEE and REPORT REQUEST PERMITTEE NAME: Carder, Inc. ~ ~, / PERMTT NO.: M-2006-054 ~ 1 Z®Q~ v APR O OPERATION NAME: Ordway Pit ation, pivision of ~Caclam t ANNIVERSARY DATE: March 26, 2008 y ~~ing and Safe ANNUAL FEE DUE: $$791.00 (Due on or before your a nniversary date) COUNTY: Crowley 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, _ _ reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new chances to the previous year's man are necessary, then no new man is required. provided that the Operator shall state this in the Annual Re~port• Please note that an adequately labeled map that clearly delineates and includes the above elements may su~~ce for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Penmittee Contact: Ron Peterson Permittee Name: Carder, Inc. Address: 32.625 County Road 3.75 Phone Number: Fax Number: P.O. Box 732 Lamar, CO 81052 (719) 336-3479 (719) 336-0196 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature Corpora Offic r, Owner, or Designee ~~-3l -~ ~ Date