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,A?p ?_ Q? <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 />Navajo Development Co., Inc. <br />/ M-2007-057 <br />Airport Corner Pit <br />March 12, 2011 <br />Ar.cFEUY E0 <br />MAR 10 2011 <br />plvtnni ?? ?? cn, <br />jr tag $323.00 (Due on or before your anniversary date) <br /> <br />Mineral <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 accbmplished 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 />man. If no new disturbances or reclamation have occurred during the previous 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: John Parker <br />Permittee Name: Navajo Development Co., Inc. <br />Address: 2043 S. Washington St. <br />Denver, CO 80210 <br />Phone Number: (719) 850-8443 <br />Fax Number: f Av - S :?D - ?I p60 <br />Nq ? OE V 0 M e. CO." <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 />ature of Corporate Officer, Owner, or Designee <br />9fil <br />Date