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<br />A O °A- ? <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Connell Resources, Inc. <br />PERMIT NO.: M-1981-022 <br />OPERATION NAME: Glass Gravel Pit <br />ANNIVERSARY DATE: May 20, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />REC GEED <br />MAY 2 0 OS --' <br />Division sand S f Y 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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />-Qccur t? <br />reclamation-aceomplisl?e? *^ °*° ?nrl during t .e ] g--year new disturbances that are n icinated tQ <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />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 may to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's may are necessary, then no new may is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. I---- <br />Division records indicate the following permittee contact information. 1fease verify and make any necessary <br />changes: / <br />Permittee Contact: Rd C <br />' d1 G? <br />I'M ;-- iVp C h a ?S or <br />0- <br />.-2Z21 I / <br />Permittee Name: Connell Resources, Inc. OISSiur Lan CES <br />Address: ?aamafl.Y X d <br />77?Jr" f?" j? /a?v? ??eaa+oaJs gar <br />Fort Collins, CO 80528 <br />Phone Number: (970) 223-3151 <br />Fax Number: (970) 233-3191 <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 />419S Cc <br />Signature of Corporate Officer, Owner, or Designee <br />Date