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C?f <br />ANNUA E rand REP?RT REOUEST <br />PERMITTEE NAME: ARick Ensminger <br />PERMIT NO.: 4 2002-068 <br />OPERATION NAME: Ensminger Pit <br />ANNIVERSARY DATE: July 29, 2008 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Phillips <br />R IF '' © <br />`JUL 3 0 2008 <br />f _ Divisiun c, i,eoa,_naYion, <br />fUiining and Safety <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 />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 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 vear's map 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: Rick Ensminger <br />Permittee Name: Rick Ensminger <br />Address: P.O. Box 276 <br />Phone Number: <br />Fax Number: <br />-- __35.00_Hwy...6___ <br />Haxtun, CO 80731 <br />(970) 774-6108 <br />(970) 774-6133 <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, o Designee <br />"'1-Z 6-08 <br />Date