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<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Colorado Calumet Co., Inc. <br />M-2006-034 <br />Colorado Calumet Co. Mining <br />June 30, 2009 <br />/? <br /><J M k <br />MAY 2 0 2009 <br />Division of Reclamation, <br />Mining and Safety <br />$$323.00 (Due on or before your anniversary date) <br />Teller <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 <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 map to this form. The Annual <br />_ Reps & Fee requirement is not met until we have received the following components: fee, report, and <br />new changesllo? the previous year's may 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: Bryan K. Lees <br />Permittee Name: Colorado Calumet Co., Inc. <br />Address: 490 Orchard St <br />P.O.Box 1169 <br />Golden, CO 80402 <br />Phone Number: (303) 278-9724 <br />Fax Number: (303) 278-9763 <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 />enclosed. <br />--pp-M-5 - <br />S' natu of Corporate Officer, Owner, or Designee <br />m k-l < l I ?-00c( <br />Date <br />M:V'ERMIT\MASTERDOCUMENTS/M-AF-02. DOC