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PA l * --" <br />ANNUAL FEE and REPORT RE UES <br />PERMITTEE NAME: Moores Mining Ranching & Mill "EP 15 2008 <br />Division or rceclamation, <br />PERMIT NO.: M-1980-178 / Mining and Safety <br />OPERATION NAME: Moores Pit <br />ANNIVERSARY DATE: September 15, 2008 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />acwiiipiisiieu w uaLe anu uurmg Lne preceumg year, new aisturbances mat are anticipatea to occur aurmg the upcoming <br />year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and <br />the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual Report & Fee <br />requirement is not met until we have received the following components: fee, report, and associated map. If no <br />new disturbances or reclamation have occurred during the previous year and no new changes to the previous <br />year's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual <br />Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary changes: <br />Permittee Contact: <br />4eo -I fnoore S <br />Permittee Name: Moores Mining Ranching & Mill L / <br />Address: b? 9 0 X/ <br />Gateway, CO 81522 <br />Phone Number: (97M_'C?IIZ C?'Jo? <br />Fax Number: (9?8} 931 8 ?° 7d) T31-- a Pa S <br />If you have additional comments and/or information that should be provided to the Division, please provide it below or <br />attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />?-, -, <br />i ?'ature of Corporate Officer, Owner, or Designee <br />g //o /?P o 8 <br />Date