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~l ~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Sandco, Inc. <br />'~M-1987-044 <br />Walker Pit <br />August 27, 2007 <br /> <br />RECEpVED <br />~IJUL 1 ~ 2001 <br />~ision of Reciarnation, <br />Mining and Safety <br />$323.00 (Due on or before your anniversary date) <br />La Plata <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 />~hall~ubmit-theannual-fee,-a-report-and-map~howang_the_extenLo~current ~isturbances_to .affected- ]and,-- - <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 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 />maP. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to <br />the urevious vear's map are necessarv. theu no new maa 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 pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David Dillon <br />Permittee Name: <br />Address:- <br />Sandco, Inc. <br />P.O. Box 4440 <br />Durango, CO 81301 <br />Phone Number: (970) 247-1303 <br />Fax Number: (970) 382-9220 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />b ow or attach 't to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of orporate O facer, Owner, or Designee <br />Date <br />