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14V *_ ? ? _y___ <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Ace West Trucking, Inc. <br />PERMIT NO.: M-1987-103 ./ <br />OPERATION NAME: East Douglas Pit <br />ANNIVERSARY DATE: August 24, 2008 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <br />R2rE1tiQLE AUG 2 2 2UU8 t? <br />Division of Reclamation, <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 shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />acco plished to date and during the preceding year, new disturbances that are anticipated_to occur during the_upcoming,, <br />-- - - <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 man to this form The Annual Report & Fee <br />requirement is not met until we have received the following components: fee, report, and associated man. If no <br />new disturbances or reclamation have occurred during the previous year and no new changes to the previous <br />year's may are necessary, then no new may 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: Donald O. Rooks, Jr. <br />Permittee Name: Ace West Trucking, Inc. <br />Address: 15672 Hwy. 64 <br />P.O. Box 250 <br />Rangely, CO 81648 <br />Phone Number: (970) 675-2753 <br />Fax Number: (970) 675-2702 <br />No mining has been done <br />at this pit in the last <br />year. There are some <br />stockpiles left at this <br />site. <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 Corporate Officer, Owne or Designee <br /> <br />Date