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n, <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and POR VEST <br />Colorado Division of Highways <br />`M-1979-111 <br />Enderson Pit <br />December 31, 2008 <br />RECEIVED <br />AEC ?':32008 <br />Division of Reclamation, <br />a/Mining and Safety <br />$$323.00 (Due on or before your anniversary date) <br />Lincoln <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--- <br />operator shall submit the annual fee, 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 />beginning 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 may to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated may. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous -year's may are necessary, then no new may is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Gilbert Montoya <br />Permittee Name: Colorado Division of Highways <br />Address: 4670 N Holly St <br />Denver, CO 80216 <br />Phone Number: (303) 398-6804 <br />Fax Number: (303) 398-6810 <br />&re"14 R 400W"-s <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 <br />enclosed. Fl <br />Signature of Corporate Officer, Owner, or Designee <br />" I/ ' /-&/z?" ?r <br />Date <br />The p. evio"151'1 5vb4111., e ?rIC%r aOTM y <br />de p?c13 -Ae 0oj,0eht 5`lti.??5 o i 6e, Pct, <br />M: \PERMITIMASTERDOCUMENTS\M-AF-04