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_. <br /><4P <br />/~ F ~ '~- <br />As~TN[JAL FEE and REP <br />ORT REQUEST RECEIVED <br />PERMITTEE NAME: 'Rio Grande Ranch, LLC <br />PERMIT NO.: 1/ _ ~AR 2 $ Z~08 <br />M 2004-045 <br />ivision of Reclama~ <br />OPERATION NAME: Hanna Pit No. 1 Mining and 3aA~y ' <br />ANNIVERSARY DATE: March 28, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Rio Grande <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 disturbancesthat-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 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 />mau. If no new disturbances or reclamation have occurred durin the revious ear and no new chap es to <br />the previous year's map 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: <br />Kevin W. Ames <br />Permittee Name: Rio Grande Ranch, LLC <br />Address: P.O. Box 880 <br />South Fork, CO 81154 <br />Phone Number: (719) 657-0261 <br />Fax Number: (719) 657-0372 <br />If you have additio al comments and/or information that should be provided to the Division, please provide it <br />below or attach i~t this form along with your written report and map. Annual Report instructions are enclosed. <br />i / .. . n - <br />Owner, or Designee <br />~ 3~~-~~~08" <br />Date <br />