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G.`~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t/ Alpine Rock Company <br />r/ M-1993-035 <br />1/ Swan River Resource <br />October 4, 2006 <br />t~~L <br />J b ~JC~ lD~ <br />RECEIVED <br />~ r7rr n ~ ; ~r15 <br />.Division of Reclamation, <br />Mining and Safety <br />$688.00 (Due on or before your anniversary date) <br />Summit <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 />_reclam_ation 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 />ma If no new disturbances or reclamation have occurred durinc the previous vear 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 Report. 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: Gregory Z. Gerganoff <br />Permittee Name: Alpine Rock Company <br />Address: 14802 W. 44th Ave. <br />Golden, CO 80403 - - <br />Phone Number: (303) 279-6611 <br />Fax Number: (303) 279-6216 <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 />Signature o~ or~icer, Owner, or Designee <br />`l- 2~`~ vG <br />Date <br />