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r <br />PERMITTEE NAME: <br />PERMIT NO.: <br /> <br />AN ffULEE and REPORT REQUEST <br />h/ 1 <br />ZBca County <br />M-1993-088 <br />FEB 0 4 2011 <br />RECEMW <br />'MAR 04 2011 <br />OPERATION NAME: Gunkel Pit No 31 <br />Division of Reclamation, <br />ANNIVERSARY DATE: March 7, 2011 J-6 Mining and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Baca <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 <br />operator shall submit the annualTee, a report and map" "showing the ex-tent- 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 may to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new chany-es to the previous year's map are necessary, then no new map 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: Glen R. Ausmus <br />Permittee Name: Baca County <br />Address: 741 Main St. <br />Springfield, CO 81073 <br />Phone Number: (719) 523-6532 <br />Fax Number: (719) 523-6584 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />attach i ' form along with your written report and map. Annual Report instructions are <br />. <br />fficer, Owner, or Designee <br />of Corporate <br />ViAnature <br />Date <br />M:IPERMITIMAS TERDOCUMENTS\M-AF-04