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~;~~~ <br />A AL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />v Lincoln County <br />t/~M-2000-066 <br />Raymond Enderson Pit <br />July 12,2007 <br /> <br />RECEIVED <br />~~~ fJUN 12 2007 <br />i-Division of Reclamation, <br />Mining and Safety <br />$$281.00 (Due on or before your anniversary date) <br />Lincoln <br />.-According to C.R_S~34-32.S-11G or C,R_S_34-32_116, each year, on the anniversary date of the~etmit, an __ <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />]and, 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 report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinc the previous year and no <br />new chances to the previous year's map are necessary, then no new map 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 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: Don Blake <br />Permittee Name: Lincoln County <br />Address: P.O. Box 39 <br />Phone Number: <br />Fax Number: <br />Hugo, CO 80821 <br />(719) 743-2337 <br />(719)743-2815 <br />r~~,.,,.,e-tk Mo.~-r, sue-. <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 />iCe....r.~Y7~\ VkW~...ar-~ <br />Si afore of Corporate Officer, Owner, or Designee <br />J,r~ 5, zoo ~ <br />Date ~ <br />M:~PERMITMASTERDOCUMEMSN1-AF-04 <br />