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01126/2010 11:48 9708748581 PATSYSSEGRETARIAL PAGE 02/02 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERA'T'ION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />A1C. EE a d RE ORT gLQUEST <br />AN-2W f <br />PA-.j.Botti Construction & Gravel <br />O M-1997-027 <br />Moonscape Pit <br />January 30, 2010 <br />$323.00 (Due on or before your anniversary date) <br />Delta <br />RECEIVED <br />JAN 2 9 2010 <br />Division of Reclamation, <br />Mining & Safety <br />According to C.R.S. 34-32.51.16 or C.R.S. 34-32-1.16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and trap showing thea extent of current <br />that are anticipated tto occur <br />reclarnation accomplished to date and during the preceding year, new disturbances <br />during le-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 />Pl a Aoar revised writteA annual rert and annual re ort ma to this fo re ohe Annual Report <br />t,. <br />& Fee ?nirement is not met until we have received the following components: ee. -- <br />ma no new disturbances or reels ation have occurred during the revious year and no new cha es to or sh I state <br />__E map is reg <br />the ip, r ions ear's ma are necessary, <br />e note that an adequately labeled map that dCle?arlhvadelineates and includes the <br />this in >te Anna Report Plea <br />above elements may suffice for a written report. <br />records indicate the following permlttee contact information. Please verify and make any necessary <br />-e Contact: Andrew I Botti <br />%? ?Jc i7IC1'vl LL. ' <br />se Name: AI Botti Construction & Gravel Arg 60 <br />4608 Sundown Rd <br />Delta, CO 81416-91.07 MO^T;2°SC LO 14(7 <br />Number: <br />Fax Number: <br />(970) 874-8141 <br />(970) 874-.8141 <br />).-,?a°I- $3yv <br />970--- as,? - ins. <br />If yorl have additional comments and/or information that should be provided to the Division, please provide it <br />belowl or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Tanaiurebf Corit'S'?t?ate Officer, owner, or. Designee <br />Date <br />2010-01-2614:10 9708748581 Page 2