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<br />?S' Ol4- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />07- <br />ANNUAL FEE and RE ORT REOUEST <br />Mall Irwin Corporation <br />v 1-1997-058 <br />RECEIVED <br />WEB'O 5 2000 <br />Division of Reclamation, <br />Mining and Safety <br />Baseline Resource <br />February 12, 2009 <br />$$791.00 (Due on or before your anniversary date) <br />Weld <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 during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be perfoinied-duringfhe coming year; th-edates for the -beginning <br />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 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 />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator 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 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: Jim McFarland <br />Permittee Name: Hall Irwin Corporation <br />Address: 301 Centennial Drive <br />Phone Number: <br />Fax Number: <br />Milliken, CO 80543 <br />(9;9}332-6-284 <br />If you have additional <br />belowldx attach it tQ1hi <br />r <br />of <br />GAO - 5y? -112-7 -7 <br />'l0 - S2-7 ''728-7 <br />or information that should be provided to the Division, please provide it <br />h your written report and map. Annual Report instructions are enclosed. <br />, Owner, or Designee <br />(.Z- 3-2a0? <br />Date