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iAC? *- ?z FT <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 />V Louis M. Wyman <br />J M-1983-037 <br />Wyman Pit <br />May 31, 2010 <br />$323.00 (Due on or before your anniversary date) <br />Routt <br />RECEIVED <br />,/ APR 2 2 2010 <br />Division of Roalg 1i fion, <br />Mining & SeAty <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 disturbances that are anticipated to occur <br />- - -duringthe 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 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 vear's map are necessary, 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: L. M. Wyman <br />Permittee Name: Louis M. Wyman (I <br />Address: P.O. Box 278 <br />Craig, CO 81626-0278 <br />Phone Number: (303) 824-6431 <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 />Signature of Corporate Officer, Owner, or 6 signee <br />Date