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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />F -k- K1- <br />ANNUAL FEE and REPORT RE VEST <br />r <br />Routt County <br />M-1978-315 -? <br />Red Rock Pit <br />November 22, 2009 <br />WOVO <br />t/ OCT 2 8 2009 <br />DhftWa of Recl"#t*, <br />Mining and SO" <br />$323.00 (Due on or before your anniversary date) <br />Routt <br />.._.?cc©?dina to C R., ??32.5=116 or _C .R 4- - L6,_ -eacb_y-?,ar, -on the= anniversary -date-o£ 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 vour 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 map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous vear's map 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Heather R. McLaughlin <br />Permittee Name <br />Address: <br />Routt County <br />P.O. Box 773598 <br />Steamboat Springs, CO 80477 <br />Phone Number: (970) 870-5337 <br />Fax Number: (970) 879-3992 <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 />LaLw <br />M:\PERMITIMASTERDOCUMENTS\N4-AF-04