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<br /> ANNUAL FEE and REPORT REOUEST <br /> <br />PERMITTEE NAME: Ace West Trucking, Inc. ? <br />PERMIT NO.: M-1999-007 <br />OPERATION NAME: North River Gravel Pit Extension <br />ANNIVERSARY DATE: April 28, 2009 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <br />ECOVED <br />APR 2 7 2009 t/ <br />Division of tceci3mation, <br />Miring and Safety <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 />durin the-u comin ear -reclamation-that-will`be-erfonffa-duriri -the comirig"Year,g? -'the dates for-the bemniri - <br />--- g P g"Y ? P g g <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 chances 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: Donald O. Rooks, Jr. <br />Permittee Name: Ace West Trucking, Inc. <br />Address: 15672 Hwy. 64 <br />P.O. Box 250 <br />Rangely, CO 81648 <br />Phone Number: (970) 675-2753 <br />Fax Number: (970) 675-2702 <br />is inactive at <br />this time. No mining <br />is being done at this <br />site. <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 />I? <br />Signature of Corporate ffi e-r, Owner, or Designee <br />?-j A 9 <br />Date