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ANNUA FEE and REPORT REQUEST ECEIVED <br />PERMITTEE NAME: Montrose County FEB 2 2 2010 <br />PERMIT NO.: M-1983-208 <br />OPERATION NAME: Shavano Pit Division of Reclamation, <br />c,40 Mining & Safety <br />ANNIVERSARY DATE: March 7, 2010 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />Accotding?-to-C-IC:S.--342.5-1-1Yi`or-C:R:S : °4=32---1r6, -ea-e r-o?rtY -anni ry -at ai -i"fre'p ri t ?= = _ <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 man 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 chances to the previous vear's map are necessarv, then no new man is reauired, 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 suff ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brian Wilson <br />Permittee Name <br />Address: <br />Montrose County <br />949 N. 2nd Street <br />Montrose, CO 81401 <br />Phone Number: (970) 252-7000 <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 <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M:IPERMTI1MASTERDOCUMENTS\M-AF-04