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f \ f- ?- ?-' f IF RECEIVED <br />ANNUAL FEE and REPORT REOUEST <br />? <br />PERMITTEE NAME: Aj Pat and Lila N Greer /JUN 14 2010 <br /> <br />PERMIT NO.: Division of Reclamation, <br />M-1985-115 Mining & Safety <br />OPERATION NAME: Greer Pit <br />ANNIVERSARY DATE: June 25, 2010 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <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 />tfiie prec?dirrg yea???i ?e a?cnp? ' o occur <br />=reclarnatiori accoriiplished-w--date armed & ffig- <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 vear's man are necessarv, 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: J. Pat Greer <br />Permittee Name: J Pat and Lila N Greer <br />Address: 8097 CR 100 <br />Hesperous, CO 81326 <br />Phone Number: (970) 588-3325 <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 />Si ture of Corporate Officer, Owner, or Designee <br />'./o - R- /o <br />Date