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~; ~~T ~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEENAME: /Hall-IrwiuCorporation ~~~'4~9~/~® <br />PERMIT NO.: ~M-1996-060 f E9 0 5 T007 <br />OPERATION NAME: Firestien Pit ~f~sion °t Recta <br />Mining and Sa e~ on, <br />ANNIVERSARY DATE: December 31, 2006 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <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 <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 form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort. and associated <br />maa. If no new disturbances or reclamation have occurred durine the previous year and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Ouerator shall state <br />this in the Annual ReaoM. 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 />Permittee Contact: 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 attach it to this form along with your written report and malp. Alnnual Report instructions are enclosed. <br />CjheeK WqS ~l"euI~U.41>7 <br />Si tore oepor is r, Owner, or Designee <br />~~~ ~ ~G' lam/ <br />Date <br />