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4W * Q P-r <br />AHWAL FEE and REPORT RE VEST RECEIVED <br />PERMITTEE NAME: VAce West Trucking, Inc. / , APR <br />7,2011 <br />PERMIT NO.: M-1999-007 <br />OPERATION NAME: North River Gravel Pit Extension Division of Reclamation, <br />Mining & Safety <br />ANNIVERSARY DATE: April 28, 2011 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <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 fie upcoming-year, reel-amation that wilt be perf6 need-during the coming year; tlldates for the beghnidng'-M- <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 year's map are necessary, then no new may 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: Donald O. Rooks, Jr. <br />Permittee Name: Ace West Trucking, Inc. <br />Address: 15672 Hwy. 64 <br />P.O. BOX 250 <br />Rangely, CO 81648 <br /> <br />A??s <br />Phone Number: (970) 675-2753 <br />Fax Number: (970) 675-2702 <br /> <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 />1Sign re of orporate Officer, Owner, or Designee <br />Date