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Ap *- Re r <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Montrose County <br />PERMIT NO.: M-1987-151 <br />OPERATION NAME: Soderquist Pit <br />ANNIVERSARY DATE: October 28, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />g <br />SEP 2 9 ?Qt;d t/ <br />Division <br />Mining and Safaty <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 an`ic map smap map extent-of ?rrmt 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 year and no <br />new changes to the previous year's map are necessary, then no new may 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 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: Brian Wilson <br />Permittee Name: Montrose County <br />Address: 161 S Townsend Ave <br /> Montrose, CO 81401 <br />Phone Number: (970) 252-7000 <br />Fax Number: (970) 252-7010 <br />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 <br />ed. <br />ignature of Corporate Officer, Owner, or Designee <br />Date <br />M: PERMIT\MASTERDOCUMENTS\M-AF-04