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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />AF + R?I- <br />ANNUAL FEE and REPORT RE VEST <br />Granby Realty Holdings, LLC ? <br />M-2006-075 <br />Overlook Mine <br />June 28, 2009 <br />$791.00 (Due on or before your anniversary date) <br />Grand <br />RECEIVED <br />?/MAY 2 7 2009 <br />Division of Reclamation, <br />Mining 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 />--during-the-upcoming-year,-reclamation-that will-be-performed during-the--coming-year; the-dates-€or-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: <br />KYLE is <br />Permittee Name: Granby Realty Holdings, LLC <br />Address: P.O. Box 1110 <br />999 Village Road <br />Granby, CO 80446 <br />Phone Number: (970) 926-3315 <br />Fax Number: (970) 926-3325 <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 />SignatV& of C orate Officer, Owner, or Designee <br />,s /;7- <br />Date / /