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ANNUAL FEE and REPORT REOUEST <br />ov/ <br />PERMITTEE NAME: '' Montrose County RECEIVED <br />PERMIT NO.: ,'/M-1977-407 JAW 2 S 2009 <br />OPERATION NAME: Cedar Creek Pit Division of ReCIaMA10)7, <br />Minir?c? ?;nd ?afie?y <br />ANNIVERSARY DATE: January 30, 2009 7 ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />According to C.R.S. 34-32.5-116 or_ C.R.5_447-32-1-1 each_yea ,_on the-anniversar 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 man to this form The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map 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: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 161 S Townsend Ave <br />Montrose, CO 81401 <br />Phone Number: (970) 252-7000 <br />Fax Number: (970) 252-7010 <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 />e of C <br />orporate fficer, Owner, or Designee <br />Dal <br />M:\PERMIr1MASTERDOCUMENTS\M-AF-04