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_A?p ?_ RPT <br />ANNUAL FEE and REPORT REOUEST ?L? ?I p A <br />? <br />PERMITTEE NAME: McAtee Construction Co. JAN 16 ?QO <br />C}i?ouior, S l? <br />PERMIT NO.: M-2007-013 <br />OPERATION NAME: Bollish Pit #2rrrti3?? 4,,,d 'afetY nationL'v <br />ANNIVERSARY DATE: June 13, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Logan <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 affectedl, land, <br />- -- reclamation accomplished to-date and during-the preceding-year, new disturbances -that are-anticipated to occur <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 map 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 vear's man are necessarv. then no new map 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. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: William G. Lauer <br />Permittee Name: McAtee Construction Co. <br />Address: P.O. Box 1908 <br />Sterling, CO 80751 <br />Phone Number: (970) 422-3647 <br />Fax Number: (970) 522-9725 <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 />Signature of Corporate Officer, Owner, or Designee <br />4--t<--OR <br />Date