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a? *- RW <br />ANNUAL FEE and REPORT REOUEST <br />pt RECEIVED <br />PERMITTEE NAME: Precision Excavating, Inc. <br />PERMIT NO.: M-2001-023 JUL 17 2000 <br />OPERATION NAME: Camilletti Milner Pit #2 Division or Neciamation, <br />Mining and Safety <br />ANNIVERSARY DATE: August 1, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Routt <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 shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />accomplished-to- date and during the-preceding year, new disturbances-that-are anticipated -to occur during the upcoming._ <br />year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the <br />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 & Fee <br />requirement is not met until we have received the following components: fee, report, and associated map. If no <br />new disturbances or reclamation have occurred during the previous year and no new changes to the previous <br />year's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual <br />Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary changes: <br />Permittee Contact: Gary Webber <br /> <br />Permittee Name: Precision Excavating, Inc. <br />Address: P.O. Box 790 <br />Hayden, CO 81639 <br />Phone Number: (970) 276-3359 <br />Fax Number: (970) 276-3084 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below or <br />atta it to this form along with your written report and map. Annual Report instructions are enclosed. <br />W v? <br />Signature of <br />Date <br />10TO <br />or Designee