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NOV-05-2008 02:03PM FROM-OIV RECLAMATION MINING i SAFETY <br />+3038328106 T-TIO P-005/005 F-148 <br />A? *" QP r <br />PERMTITEE NAME: <br />PERMU NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Nuvemco, LLC <br />M-1977-293 V <br />Monogram- To Dandy <br />November 27, 2008 <br />W9.00 (Due on or before your anniversary date) <br />Montrose <br />/76vo <br /> <br />According to C.R.S. 34325-116 or C.R.S_ 3432-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual he, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the-dates-for the <br />bt&t mg of activeoperations, 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 <br />associated map. If no new disturbances or redamation have occurred durina the previous year and no <br />new c6angg to the previous vest's man ar'c necemam then no new man is reaalred, provided that the <br />Operator shall state this is the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elemeros may suff ice for a written report <br />Division records indicate the following pertnittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Henry Carar <br />Permittee Name: Nuvcm x), U-C QVAmAc, <br />Address: 10771-3200 Rd nd Q , n <br />Hotchkiss, CO 81419 <br />C?o?ac? ?.r , C o ? 3 b <br />(O <br />Phone Number. (970) 872-3247 Op3 " 3 -10& <br />Fax Number. (970) V2-3 122 1 - "- i V 41 <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 an enclosed. <br />r"- IC--1' - <br />Signature of C to , Owner, or Designee <br />Date <br />MWMV4nWhs +nj=