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999 <br /> ANNUAL FEE and REPORT REQUEST <br /> RECEIVED <br /> PERMITTEE NAME: Alpine Rock Company <br /> SEP <br /> PERMIT NO.: M-1993-035 <br /> OPERATION NAME: Swan River Resource Division of Minerals and Geology <br /> ANNIVERSARY DATE: October 4,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Summit <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, 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 your revised written annual report and annual report map to this forth. Please note that air <br /> adequately labeled map that clearly delineates and includes the above elements may sufce for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: James R. Krattenmaker <br /> Permittee Name: Alpine Rock Company <br /> Address: 14802 W. 44th Ave. <br /> Golden, CO 80403 <br /> Phone Number: (303) 279-6611 <br /> Fax Number: (303) 279-6216 <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 /> fir' Eti.� <br /> Signature of Corporate Officer or Owner <br /> `l ;, �,)I <br /> Date <br /> MIPERMrM1A5TERDOCUMENTMWAF 01 <br />