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rl? PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RE VEST <br />3B Enterprises, LLC <br />?M-2001-060 <br />Deakins Pit <br />August 29, 2008 <br />t-'aUG 2 8 2008 <br />f DivisioPl <br />$791.00 (Due on or before your anniversary date) <br />Moffat <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 dig_turbanceg 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: Ste er <br />Permittee Name: 3B nterprise , C <br />Address: P.O. Box 1665 <br />Craig, CO 81626 <br />Phone Number: (970) 824-0225 <br />o? ?a y - (o aS a <br />Fax Number: (97-0)-82-4--0225 - (q -7 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below or <br />attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corp rate fficer, Owner, or Designee <br />Date