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RECEIVED <br />,/'AUG 2 7 2009 <br />Division of Reclamation, <br />ANNUAL FEE and REPORT REOUEST Mining and Safety <br />PERMITTEE NAME: McStone Aggregates, LLC ? <br />PERMIT NO.: M-2006-016 <br />OPERATION NAME: Perkins Sandstone <br />ANNIVERSARY DATE: July 21, 2009 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Dolores <br />----According to C-R.S.3 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'distur epees-to affecte an - - <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 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 map to this form. The Annual Report <br />& Fee requirement is not mei 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 may 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: Daren-amdatky Stone <br />Paul Aldama or Casey McClellan <br />Permittee Name: McStone Aggregates, LLC <br />Address: P.Q-BoK-483-- <br />EoFwzr Ck1-81324443a <br />Phone Number: (970) 565-2603 <br />Fax Number: (970) 565-0276 <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 />T , Paul Aldama, Office Manager <br />22 te Officer, Owner, or Designee <br />Sipatu of qCo- <br />AUG 2009 <br />Date <br />PLEASE SEE ATTACHED MAP.