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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />f ?g jr- R-elr <br />ANNUAL FEE and REPORT REOUEST <br />F~ <br />,X Skanska USA Civil West Rocky Mountain District Inc <br />M-1976-027 <br />Craig Pit <br />June 17, 2010 <br /> <br />t/ MAY 1 x 2010 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) A Division of Reclamation, <br />Mining & Safety <br />COUNTY: 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 disturbances that are anticipated 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 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 pre dous year and no new changes to <br />the previous year'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: Qaia-Wickzt"=. Q <br />Permittee Name: Skanska USA Civil West Rocky Mountain District Inc <br />Address: 22419 CR G <br />P. O. Box 1660 <br />Cortez, CO 81321 <br />Phone Number: <br />Fax Number: <br />p "x%61 -0I IC <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 Designee <br />(970) 565-8000 <br />-5-4 // /69011-16 <br />Date