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RECEIV <br />JUN G 4 2011 <br />pp D Division of Reclamation, <br />� - aT kilmtng at/ <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />JUN 4 L <br />PERMITTEE NAME: Moffat County P,vig, ®fl of Redman, <br />PERMIT NO.: J M- 1999 -048 Mining at ant* <br />OPERATION NAME: Little Snake Pit #26 <br />ANNIVERSARY DATE: July 22, 2011 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <br />.According_to C.R.S___3-4,32.5 416 or C R S__34-32-116, each_year the- anniuersaryy— date_of-the er_mit,-.an—_ <br />operator shall submit the annual fee, a report and map showing the extent 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 map 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 changes 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: Billy E. Mack <br />Permittee Name: Moffat County <br />Address: P.O. Box 667 <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 <br />enclosed. <br />Craig, CO 81626 <br />Phone Number: (970) 824 -3211 <br />Fax Number: (970) 824 -0356 <br />Signaturf Corporate Officer, Owner, or Designee <br />& — �r <br />Date <br />MA PERMIT TERDOCUMENTS\M -AF -04 <br />