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2011 -10 -25 08:18 DRMS 3038328106 » <br />Permittee Contact: Bruce E. Neil <br />Permittce Name: Neil's Excavation <br />Address: 486 CR 515 <br />//°/; C / 7 7 <br />Date <br />Ignacio, CO 81137 <br />Signature of Corporate Officer, Owner, or Designee <br />ANNUAL FEE and REPORT REQUEST <br />P 3/5 <br />OCT 3i ti <br />Division of ;,o: amation, <br />Mining and Safety <br />PERMITTEE NAME: Neil's Excavation <br />PERMIT NO.: M- 1980 -143 <br />OPERA'T'ION NAM Texas Creek Cray Pit <br />ANNIVERSARY DATE: October 27, 2011 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 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 our revised written annual re ort and ; nnual re oil ma 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 durine the previous year and no new changes to <br />the revious ear's ma u are necessa then no new ma is re aired • rovided that the 0' erator 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 sunce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Phone Number: (970) 884 -2290 <br />Fax Number: (970) 884 -1000 <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 />