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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />?, * Wl <br />ANNUAL FEE and REPORT RE UEST <br />Ronald L Barrier <br />M-1994-081 `" <br />Peat Mine <br />December 21, 2008 <br />$791.00 (Due on or before your anniversary date) <br />Alamosa <br />RECEIVED <br />DEC 18 2D08 t-- <br />Division of Reclamation, <br />Mining and i)afety J-P <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, mew-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, 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 vear'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: Ronald L. Barrior <br />Permittee Name: Ronald L Barrier <br />Address: P.O. Box 3 <br />Alamosa, CO 81101 <br />Phone Number: (;??j-589-69A4 <br />Fax Number: (IL%Zg---9495 <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 enclosed. <br />S`ignature o rate Officer, Owner, or Designee <br />Date <br />