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<br />ANNUAL FEE and REPORT REOUEST <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: V Russell Ranch General Partnership <br />M-2006-008 <br />Russell Ranch Pit <br />??°?'V?? <br />APR 2 2 2010 <br />ANNIVERSARY DATE: April 27, 2010 -(!7 Division of Reclamation <br /> <br /> <br />ANNUAL FEE DUE: <br />? <br />$323.00 (Due on or before your anniversary date) , <br />Mining & Safety <br />COUNTY: Rio Blanco <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 accomQlished to date and during the nreceding_y_pAr, ne-w dl?turba:?nc?es.that_are_anticipated_to_oncur <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 year'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: Ben Rogers <br />Permittee Name: _ Russell Ranch General Partnership <br />Address: 1240 Rio Blanco County Road 8 <br />P.O. Box 597 <br />Meeker, CO 81641 <br />- -- Phone-Number: (970)-87-8-481-0- - - - <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 />41 1c) 1 rv <br />Date