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ANNUAL FEE an REPORT OUEST <br />PERMITTEE NAME: Colorado Department of Transportation <br />PERMIT NO.: !/M-1996-007 <br />OPERATION NAME: Spring Creek Pass <br />ANNIVERSARY DATE: May 2, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Hinsdale <br />~~°.4 .`. <br />Diviz;,, ~~©Qj <br />V tYtiRi~ ,.. ..'diLiy fin. <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 <br />operator shall submit the annual fee, a report and map showing the extent of current- id'sTurlia crt esta-affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual resort and annual reuort mao to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated mao. If no new disturbances or reclamation have occurred durinti the previous vear and no <br />new chanties to the previous year's map are necessary. then no new maa is required. provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rex Goodrich J~ a l ~Mt7-F/ <br />Permittee Name: Colorado Department of Transportation <br />Address: 222 S 6th St Rm 317 <br />Grand Junction, CO 81501 <br />Phone Number: (970) 248-7228 ~~'76) 2yR - 72 <br />Fax Number <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 <br />enclosed. <br />Signature of~Cotporate Officer, Owner, or Designee <br />yzo To~s ~k.MO/EA I.U 2~6 <br />y-2o- 07 <br />Date <br />M:~PERMIT\MASTERDOCUMEMSNI-AF-04 <br />