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44??F A- R P-F <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />?r <br />Montrose County <br />M-1992-017 <br />BLM/West End Pit <br />April 24, 2010 <br /> <br />,? MAR 2 6 2010 <br />Divition of RvctafnMon, <br />Mining and Safety <br />$791.00 (Due on or before your anniversary date) <br />Montrose <br />- - --According-to-C.-R:S?4-32;5?1-15-or C;,R.S.--34=32-115; each-year,-on-the-anniversary-date-of the-pefmt, air <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 your 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 may. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new may 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 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: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 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 thi form along with your written report and map. Annual Report instructions are <br />Za u re ed. <br />of Corporate Officer, Owner, or Designee <br />Z??' ??(-D <br />Date <br />M: \PERMITI"TERDOCUMENTS\M-AF-04