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w <br />ANNUAL FEE and REPORT REQUEST <br />PERMTTTEE NAME: Hall-Irwin Corporation <br />PERMIT NO.: M-1987-113 ~~ <br />OPERATION NAME: Rocky Flats Pit <br />ANNIVERSARY DATE: January 5, 2008 <br />ANN[JAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <br />~~~~0~~® <br />JAN ~ 2 2008 <br />l <br />Division ofa d Sa ety n~ <br />Mining <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 />- - --reclamation -accomplished to date -and during-the- preceding year, new-disturbances that are anticipate3 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 man 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 durinS the previous year and no new changes to <br />the previous year's man are necessary, then no new map is required, provided that the Operator 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: Jeff Gregg <br />Permittee Name: Hall-Irwin Corporation <br />Address: 301 Centennial Dr. <br />Milliken, CO 80543 <br />Phone Number: (970) 587-7279 <br />Fax Number: <br />°I't o - 58 ~ - 7~8~i <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it tot is form along with your written report and map. Annual Report instructions are enclosed. <br />Si re of orate Of r, Owner, or Designee <br />l~i /ate <br />Date <br />