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\~ <br />~ EST <br />ANN AL FEE an REPORT REQU <br />PERMITTEE NAME: 'Clear Creek District Water Providers, LLC <br />PERMIT NO.: 'I-2004-067 <br />~~-' t <br />l~ <br />~. ~~ <br />~f'EB 0 6 2008 <br />OPERATION NAME: MMRR Quarry <br />~sion u, ~Y~E;C,~.:.i:c~t~., .. <br />ANNNERSARY DATE: February 22, 2008 Mining and Sat~~rr <br />ANNiJAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: ~ Gilpin <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 <br />operator shall submit the annual fee, a report and- map showing the extent of current disturbances to affected <br />land, 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 your 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 during the previous vear and no <br />new changes 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 fora written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Robert A. Lembke _ <br />Permittee Narne: Clear Creek District Water Providers, LLC ,~ <br />Address: 5460 S. Quebec St., Ste 110 <br />Greenwood Village, CO $O1l l <br />Phone Number: (303) 773-1005 <br />Fax Number: (303) 773-1176 <br />If you have ad_d'tional comments and/or information that should be provided to the Division, please provide it <br />belo r attach~ti to~is form along with your written report and map. Annual Report instructions are <br />5i <br />Owner, or Designee <br />~~3/ ~o~ <br />Date <br />M:~PF,RMITV~tASTERDOCUMENTS~iv1-AF-04 <br />