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*- RIP <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: ACA Products, Inc. <br />PERMIT NO.: M-2001-035 L/ <br />OPERATION NAME: Trout Creek Pit <br />ANNIVERSARY DATE: September 19, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Chaffee <br />RJEGRUVE[D <br />SEP 15 2000 L__, <br />Division Of Neclamation, <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 />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, -arid <br />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 & Fee <br />requirement is not met until we have received the following components: fee, report, and associated may. If no <br />new disturbances or reclamation have occurred during the previous year and no new changes to the previous <br />vear's map are necessarv. 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 the1o-llowirig permittee c6nTact-informat on-Please verify and-make-any-necessary changes:- -- <br />Permittee Contact: Kayette Hutchison <br />Permittee Name: ACA Products, Inc. <br />Address: 702 Gregg Drive <br />P.O. Box 1887 <br />Buena Vista, CO 81211 <br />Phone Number: (719) 395-3790 <br />Fax Number: (719) 395-3794 <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 o orate Officer, Owner, or Designee <br />8120 Po -6 <br />Date