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,Av- 3?-- Rf-r <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Brice F Lee & Phyllis J Lee <br />? <br />PERMIT NO.: M-1977-546 <br />OPERATION NAME: Horvath Pit No 1 <br />ANNIVERSARY DATE: July 26, 2010 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />• `e4 i el) <br />Jut 20?010 <br />D1waton ofR <br />Mining & S arnavOn, <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 vour 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 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: Brice F. Lee <br />Permittee Name: Brice F Lee & Phyllis J Lee <br />Address: 940 CR 119 <br />Hesperus, CO 81326 <br />Phone Number: (970) 588-3369 <br />Fax Number: (970) 588-3369 <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 rporate bf is r, w er, or Designee <br />,7.Z G - /o <br />Date