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0P--- <br />`TNUAL FEE and RE RT REQUEST <br />PERMITTEE NAME: C i-:0004- County RECEIVED <br />PERMIT NO.: 027 JUL 312009 <br />OPERATION NAME: Mendenhall Pit Division of Reclamation, <br />ANNNERSARY DATE: August 20, 2009 Mining and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Otero <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 and map showing the extent of current_ 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 map 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: Darryl Schulz <br />Permittee Name: Otero County <br />Address: P.O. Box 511 <br /> 13 W. 3rd St. <br /> La Junta, CO. 81050 - <br />Phone Number: (719) 383-3035 <br />Fax Number: (719) 383-3935 <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 />e sed. <br />Signatur C rporate O facer, , or Designee <br />ate <br />M:IPERMITUv ASTERDOCUMENTS\M-AF-04