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CU <br /> <br />FEB 2 3 2006 <br />Division at Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />to C.R.S.34-32.5-116 or <br />Hall-Irwin Corporation <br />M-1997-058 <br />Baseline Resource <br />February 12,2006 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />ss ache annua ee, a report an map s owing t e extent o current rstur ances to a-f ectf ed-[aiSd' ~ -- <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming yeaz, 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 anneal report and anneal report man to this Fnrm_ Please note that an <br />adequately labeled map that clearly 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: Jeff Gregg <br />Permittee Name: Hall-Irwin Corporation <br />Address: 301 Centennial Dr. <br />Phcne Number: <br />Fax Number: <br />Milliken, CO 80543 <br />(303)587--7200 <br />(970)352-6284 <br />970- S8>- ~z79 <br />q ~o - S8? - >z89 <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 />owner, or Lestgnee <br />Date <br />