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~ ~ ~~' <br />ANNUAL FEE and REPORT REQUEST ~~~~~~~® <br />PERMITTEE NAME: Hall-Irwin Corporation 1~ <br />/ aP~ 0 7 zoo8 <br />PERMIT NO.: M-2002-120 ~./ <br />Division of Reclamation, ~ <br />OPERATION NAME: Bernhardt Resource Mining and SafetyVY <br />ANNIVERSARY DATE: Apri115, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />According to C.R.S. 3~t-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 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, acid 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 Burins the previous year and no new chances 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: d~regg <br /><.1 . m ~(''n ( ~G t ~U (1 a <br />Permittee Name: Hall-Irwin Corporation <br />Address: 31)1 Centennial Dr. <br />N[illiken, CO 80543 <br />Phone Number: (.~ <br />Fax Number: (~ - <br />~"1©- 5~~ •- X2$7 <br />If you have additional. comments and/or information that should be provided to the Division, please provide it <br />below attach it to tl~i~ formp~ong wjrh your written report and map. Annual Report instructions are enclosed. <br /> <br />of Co1~~aPe t7ffl'c'~r, Owner, or Designee <br />~~~0~~ <br />Date <br />