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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />'Stone Cliff Investments, LLC <br />9VI-2003-002 <br />Ghost River Gravel Pit <br />August 11, 2008 <br />$$323.00 (Due on or before your anniversary date) <br />Huerfano <br />014- <br />RECEIVED <br />AUG 06 2005 <br />ivision of Declamation, <br />Mining 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 man 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 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: Steve Melvick <br />Permittee Name: Stone Cliff Investments, LLC <br />Address: 255 Del Este <br />Woodland Park, CO 80863 <br />Phone Number: (719) 686-9080 <br />Fax Number: (719) 686-9081 <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 />Signatur f Corporate Officer, Owner, or Designee <br />31 Py <br />Date