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014-1, <br />r ?4'r <br />AN Et d ?ORT REQUEST ? <br />RECEIVED <br />PERMITTEE NAME: '?LBCR, LLC JUN 2 6 ZOU6 <br />PERMIT NO.: -----M-1992-054 Division of Reclamation, <br />OPERATION NAME: Ignacio Pit Mining and Safety <br />ANNIVERSARY DATE: July 14, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: 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 />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 anti-cinated 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 during the previous year and no new changes 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: Todd Fisher <br />Permittee-Name: LBCR, LLC <br />Address: 1440 Blue Sage Ct. <br />Boulder, CO 80305 <br />Phone Number: (303) 499-0707 rr <br />Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />41ature of Corporate Officer, Owner, or Designee <br />Date