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Rx Date/Time MRR-06-2009(FRI) 08:59 <br />+3038328106 <br />MAR-06-2009 10:37AM FROM-DIV RECLAMATION MINING & SAFETY +3038328106 <br />PE1RVi1TTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />i <br />ANNUAL E and REPURT RE UEST <br />Y ?_Rick Hunt <br />1,M-1982-112 <br />Miller Gravel Pit <br />P. 002 <br />T-196 P.002/002 F-200 <br />RECEWW <br />MAR 13 2009 <br />DLIMwon oT Keciat ubm, <br />41 MM "and Sd* <br />March 11, 2009 <br />$S791.00 (Due on or before your anniversary date) <br />Elbert <br />According to C.R.S_ 34--323-116 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 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 your revised written annual rc ort and annual report ma to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee report, associated <br />=12 If no new disturbances or reclamation have occurred during the previous ear and no new changes to <br />the previous year's man are neces?arv, then no new may is required, provided that the O erator shall state <br />this in the Annual Report. Please note that an adequately labeled snap that clearly delineates and includes the <br />ubotie elements may suffice for a written report. <br />Division records indicate the following perminee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick Hunt <br />Perminee Name: Rick Hunt <br />Address: 43160 CR 17-21 <br />Elizabeth, CO 80107 <br />Phone Number: (303) 646-6486 <br />Fax Number: (303) 646-9233 <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 />Signature of Corporate Officer. Owner. or Designee <br />Date