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~~ ~ ~ iQ~ <br />ANNUAL FEE and REPORT RE VEST <br />PERMITTEE NAME: Colorado Lime Company <br />PERMIT NO.: M-2000-098 ~ RECENfED <br />OPERATION NAME: Monarch Quarry JAN 14 Z009 ~ <br />ANNIVERSARY DATE: January 15, 2009 Division of Reclamation <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) Mfnmg and Safety ' ~( <br />COUNTY: Chaffee <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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />-- reclamation accomplished to-date-and dur-ing-the-preceding year,--new-disturbances that are anticipated to-occur- <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components fee, report, and associated <br />ma . If no new disturbances or reclamation have occurred during the previous vear and no new changes to <br />the revious ear's ma are necessa then no new ma is re uired rovided that the O erator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Tracy Gunn <br />Permittee Name: Colorado Lime Company <br />Address: 1468 Hwy 50 <br />Delta, CO 81416-3119 <br />Phone Number: (970) 874-8300 <br />Fax Number: (970) 874-8366 <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 enclosed. <br />~G/ - <br />ature of Corporate Officer, Owner, or Designee <br />Date <br />