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AT' )I- k* 7- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and R EPORT REOUEST <br />Anthony Zellitti c, `? <br />M-1980-246 V <br />Zellitti Pit <br />February 28, 2010 <br />jW%cowun 00 <br />1/ MAR 0 1 2010 <br />Division of keciamatioR, <br />Mining and Safety <br />$791.00 (Due on or before your anniversary date) <br />La Plata <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-accomplished-to-date-and during the preceding year,-new--isturbances that are anticipafed 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 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 changes to <br />the previous year's may 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: Anthony Zellitti <br />Permittee Name: <br />Address <br />Anthony Zellitti <br />2001 CR 300 <br />Durango, CO 81301 <br />Phone Number: (970) 247-3834 <br />Fax Number: (970) 563-4238 <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 />Si ature of e Officer, Owner, or Designee <br />119-311o <br />Date