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r' <br />/ pE COVED <br />NOV C 5 2009 <br />Div*WR of Reclamation <br />40 Mining and SafetY <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 />_,r eclamati on a ccomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be per oE`rmed`ilurmg the coming -year the dates es-for the-he <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 Ope rator 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: Harold A. Winter <br />Permittee Name: <br />Address <br />Harold A Winter <br />20157 CR 75.0 <br />Trinidad, CO 81082 <br />Phone Number: (719) 846 -3570 <br />Fax Number: <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 />Signature of Corporate Officer, Owner, or Designee <br />r <br />& Lp, aD09 <br />Date <br />1 r i <br />ANNUA E and PORT REQUEST <br />PERMITTEE NAME: <br />arold A Winter <br />PERMIT NO.: <br />✓M- 1985 -165 <br />OPERATION NAME: <br />Winter Ranch Pit <br />ANNIVERSARY DATE: <br />November 26, 2009 <br />ANNUAL FEE DUE: <br />$$323.00 (Due on or before your anniversary date) <br />COUNTY: <br />Las Animas <br />r' <br />/ pE COVED <br />NOV C 5 2009 <br />Div*WR of Reclamation <br />40 Mining and SafetY <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 />_,r eclamati on a ccomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be per oE`rmed`ilurmg the coming -year the dates es-for the-he <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 Ope rator 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: Harold A. Winter <br />Permittee Name: <br />Address <br />Harold A Winter <br />20157 CR 75.0 <br />Trinidad, CO 81082 <br />Phone Number: (719) 846 -3570 <br />Fax Number: <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 />Signature of Corporate Officer, Owner, or Designee <br />r <br />& Lp, aD09 <br />Date <br />