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f / / ~ ~~~ <br />ANNUAL FEE and REPORTREOUEST R~r'~I~i~l~ <br />PERMITTEE NAME: dllall-Irwin Corporation ,, FE8 0 51001 <br />PERMIT NO.: ~M-2000-144 D~sion of Reclamation, <br />OPERATION NAME: North LaPoudre Pit ~/ Mining and Safety <br />ANNIVERSARY DATE: January 22, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br /> <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 dwing the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, ?eclamation that will be performed during the ooining year, the dates for the beginning <br />of active operations, and the date active operations ceased for the yeaz, if any. <br />Please attach your revised written annual repots 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 durinc the previous veer and no new chances to <br />the previous vear'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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />PermitteeContact: Jeff Gregg <br />Permittee Name: Hall-Irwin Corporation <br />Address: 301 Centennial Dr. <br />Milliken, CO 80543 <br />Phone Number: (970) 587-7200 <br />Fax Number: (970} 352-6284 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or~ttach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signatwe <br />Owner, or Designee <br />~~ d-1 ~_ ~ '-~ <br />Date <br />