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r~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t/ Hall-Irwin Corporation <br />~/ M-1998-013 <br />/he Shores <br />October 1, 2006 <br />i~ ~~ <br />RECEIVED <br />OCT ~ 9 2006 <br />Division of Reclamation, <br />Mining and Safety <br />... a rP ~-~ ~\~~~ <br />~, <br />~ s ~~.aaa <br />:; e~rnation, <br />,/~~ ,-d3afety <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />a <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 />-reciamanon acc- oinplished-to date and -dunn" g tTe prece ing year,-new~tuftiances tTiat are andcipa[ed 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 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 />maD. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous year's maa are necessary, then no new map is required, provided that the Oaerator shall state <br />this in the Annual Resort. Please note that an adequately labeled map that clearly delineates and includes the <br />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: JeffGregg <br />Pennittee Name: Hall-Irwin Corporation <br />Address: 301 Centennial Dr. <br />Milliken, CO 80543 <br />Phone Number: (970) 587-7279 <br />Fax Number: (970) 587-7289 <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 />t <br />S' atur o o rat fficer, Owner, or Designee ~~~~ --~ ~ ~ 1Q ~ <br />D /7 Oln • ' 1111---"~¢¢¢ ^ W'QJ.-~~S <br />Date <br /> <br />