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,kV-- A U <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RE VEST <br />C&B Sand and Gravel Inc. <br />M-2007-058 ? <br />Sheehan Pit <br />February 11, 2010 <br />RECEIVED <br />1/ JAN 13 2010 <br />f?b ? Division of Reclamation, <br />? Mining & Safety <br />$323.00 (Due on or before your anniversary date) <br />Moffat <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 accomplishelc to dafe and-"during the preceding year, new disturbances that are an icipated`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 vour revised written annual report and annual report may 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 chanLes to <br />the previous vear's map are necessarv, 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: John A. Corson <br />Permittee Name: C&B Sand and Gravel Inc. <br />Address: PO Box 14 <br />Baggs, WY 82321 <br />Phone Number: (307) 761-1526 <br />Fax Number: <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 />U" <a QNp., <br />S' ature of Corporate Officer, Owner, or Designee <br />Date