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~ ~ r~P-~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: l Rio Grande Ranch, LLC <br />PERMIT NO.: /1~'I-2004-045 ~+Ft': F_lVED <br />OPERATION NAME: Hanna Pit No. 1 ih1aR 2 8 2001' <br />ANNIVERSARY DATE: March 2$, 2007 uivision of Reclamation, <br /> ~~ Mining and Safety <br />ANNUAL FEE DUE: $$281.00 (Due on or before your anniversary date) <br />COUNTY: Rio Grande <br /> <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 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 vour 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, report, and associated <br />mau. If no new disturbances or reclamation have occurred during the previous year and no new chanties to <br />the previous year'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 />Permittee Contact: Doug Law <br />Permittee Name: Rio Grande Ranch, LLC <br />Address: P.O. Box 880 <br />Phone Number: <br />Fax Number: <br />If you have <br />below or atis <br />South Fork, CO 81154 /~ <br />-f?4~}~&73-1$t2~- ~ ~ ~ (O S 7 ~oZ <br />n ~~~ ~os7 ~~i7e? <br />comments and/or information that should be provided to the Division, please provide it <br />form~]oyg with your written report and map. Annual Report instrucfions are enclosed. <br />Owner, or Designee <br />S <br />Date <br />