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vl%r <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Yuma County <br />PERMIT NO.: M-1981-179 <br />OPERATION NAME: Mekelburg Pit No 1 <br />ANNIVERSARY DATE: June 30, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Yuma <br />RECEIVED <br />JUN 17 2008 ? <br />Division of Reclamation, <br />Mining and Safety t?/ <br />--According to C.R.S._3.4-32.5-1.1.6-or C.R.S._3.4-32-1.16,_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 vour 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 changes 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 suff ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: PWA44k-e- <br />Permittee Name: Yuma County <br />Address: 1310 S. Blake St. <br />Phone Number: <br />Fax Number: <br />Wray, CO 80758 <br />(970) 332-5718 <br />(970) 332-3429 <br />(- -ow ujrd. MC.61 n n is <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 />enclo ed. <br />? f ?G?y ???J???(riyYN'?J <br />Signature of Corporate Officer, Owner, or Designee <br />?- //-Ub? <br />Date <br />M: \PERMIT\MASTERDOCUMENTS\NI-AF-04