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,kip ?- 0 V- <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: James H & Kathleen H Ross REMIVED <br />PERMIT NO.: M-1990-134 ? APR 0 7 2009 <br />OPERATION NAME: Ross Pit Division of riwwotion, <br />mining and sd* <br />ANNIVERSARY DATE: April 10, 2009 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 d'isturban- celliia't are anficipated?fo 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 report and annual report may 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 may 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: Bud Bower <br />Permittee Name: James H & Kathleen H Ross <br />Address: 595 Taylor St. <br />Phone Number: <br />Fax Number: <br />Craig, CO 81625 <br />(970) 824-2793 <br />(970) 824-9410 <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