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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ f ~~~ <br />ANNUAL FEE and REPORT REQUEST <br />Noland, Inc. <br />~M-1994108 <br />Cedar Point <br />March 7, 2007 <br /> <br />RECEIVED <br />-F€B 2 8 2007 <br />Divisio~n of Reclamation, <br />-Alfining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Montezuma <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-Lhe_ 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 resort and annual report maa to this form. The Aanual Report <br />& Fee requirement is not met until we have received the following components: fee, reaort, and associated <br />map. If no new disturbances or reclamation have occurred darinti the arevious vear and no new chanties to <br />the previous year's map are necessary, then no new map is repaired, arovided 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 Buff ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick Noland <br />Permittee Name: <br />Address: <br />Noland, Inc. <br />40325 St. Hwy. 160 <br />Mancos, CO 81328-8976 <br />Phone Number: (303) 533-7557 <br />Fax Number: (970) 533-7099 <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 />~~ <br />Signature f Corporate fficer, Owner, or Designee <br />~- 1s -0'7 <br />Date <br />