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z?w <br />.1` , <br /> <br />ANNUAL FEE and REPORT REOUEST <br />RECEIVED <br />PERMITTEE NAME: Linke Construction Inc. <br />PERMIT NO.: M-2004-061 MAY i 3 2008 l/ <br />OPERATION NAME: Cottonwood uar Division or Reclamation, 1 <br />Q i'3' Mining and Safety 3 <br />ANNIVERSARY DATE: May 23, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Grand <br />- - According_to C:R.S._3432.5-116_or C.R.S._34u32-1.16,=each vear,_on_ e_ oniiversa, date o t permit. an e- <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 during the previous year and no <br />new chanEes to the previous year's may 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: Richard Linke <br />Permittee Name: Linke Construction Inc. <br />Address: P.O. Box 1006 <br />Granby, CO 80446 <br />Phone Number: (970) 887-2811 <br />Fax Number: (970) 887-0188 <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 />ignature of Corpor icer, Owner, or Designee <br />t` - ra- ?8 <br />Date <br />M: PERMITIMASTERDOCUMENTS\N4-AF-04