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ANNUAL FEE and REPORT RE VEST <br />RECEIVED <br />PERMITTEE NAME: Gary Boyce <br />PERMIT NO.: M-1985-085 APR 14 2011 <br />OPERATION NAME: Rancho Rosado Division of ReoijijMp#@n; <br />ANNIVERSARY DATE: April 17, 2011 MininO & 8of81y <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: <br />Saguache <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 durmg -tF6 coming year--,-the---&atds for the b-egiruring- -- - - <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 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 map 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: Gary C. Boyce <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Gary Boyce <br />17425 CR 66T <br />Moffat, CO 81143 <br />(719) 256-4613 <br />(719) 256-4318 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map <br />Si ature o Corporate O icer, Owner, or Designee <br />-4)ee IL IZ, r20 !l <br />Date <br />p vided to the Division, please provide it <br />Annual Report instructions are enclosed. <br />NO p 1( 6C-1 l v r! <br />/=off y? ao! D <br />? , -??2-