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<br />'t"q *.' Q?T- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />Delta County <br />M-2007-025 <br />Whiting Pit <br />July 30, 2009 <br />RECEIVED <br />""1" 19 2009 <br />1y Division of Reclamation, <br />J' Mining and Safety <br />$791.00 (Due on or before your anniversary date) <br />Delta <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 />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated may. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's may are necessary, then no new may 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: Bob Kalenak <br />Permittee Name: Delta County <br />Address: 501 Palmer St Ste 227 <br /> Delta, CO 81416 - - <br />Phone Number: (970) 874-2035 <br />Fax Number: (970) V4-2455 <br />If you ave additional c n d/or information that should be provided to the Division, please provide it <br />belov}f , r_attacb it\to s rm A n with your written report and map. Annual Report instructions are <br />enc <br />natR--`bf Co orate Officer, Owner, or signeE <br />Date <br />M:\PER vHT\MASTERDOCUNIENTS\M-AF-04